BRYAN J BEHM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

Last Name

BEHM

Business Name

BRYAN J BEHM

Original Issue Date

12/27/2016

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/09/2022