GEORGE WILLIAM BRENT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

GEORGE

Middle

WILLIAM

Last Name

BRENT

Suffix

DDS

Business Name

GEORGE WILLIAM BRENT DDS

Original Issue Date

01/01/1998

Effective Date

01/05/2010

Expiration Date

09/30/2012

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012