BRIAN JOSEPH OLIVEIRA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

Title

DDS

First Name

BRIAN

Middle

JOSEPH

Last Name

OLIVEIRA

Business Name

BRIAN JOSEPH OLIVEIRA DDS

Original Issue Date

06/21/2016

Effective Date

06/21/2016

Expiration Date

09/30/2018

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018