GABRIELLA TATIANA BRIGANDO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

ACTIVE

Business

Title

DMD

First Name

GABRIELLA

Middle

TATIANA

Last Name

BRIGANDO

Business Name

GABRIELLA TATIANA BRIGANDO DMD

Original Issue Date

11/03/2023

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/27/2025