BRANDON M PRIOR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

Title

DMD

First Name

BRANDON

Middle

Last Name

PRIOR

Business Name

BRANDON M PRIOR DMD

Original Issue Date

06/19/2017

Effective Date

06/13/2018

Expiration Date

01/31/2022

City

COLUMBIA

State

Zip

62236

County

MONROE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022