MADISON TAYLOR BREWSTER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

ACTIVE

Business

Title

DMD

First Name

MADISON

Middle

TAYLOR

Last Name

BREWSTER

Business Name

MADISON TAYLOR BREWSTER DMD

Original Issue Date

12/11/2024

Effective Date

12/11/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60462

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2025