BROOKE BRACY HOUSTON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

Title

DMD

First Name

BROOKE

Middle

BRACY

Last Name

HOUSTON

Business Name

BROOKE BRACY HOUSTON DMD

Original Issue Date

07/30/2020

Effective Date

07/30/2020

Expiration Date

01/31/2022

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022