BRIAN DOUGLAS WERNER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

BRIAN DOUGLAS

Last Name

WERNER

Business Name

BRIAN DOUGLAS WERNER

Original Issue Date

05/23/1988

Effective Date

09/11/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022