BRYNNE COLES ANDERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

BRYNNE

Middle

COLES

Last Name

ANDERSON

Business Name

BRYNNE COLES ANDERSON

Original Issue Date

08/05/2008

Effective Date

09/13/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/09/2022