JAMES GLEN BROSNAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

JAMES GLEN

Last Name

BROSNAN

Suffix

DDS

Business Name

JAMES GLEN BROSNAN DDS

Original Issue Date

01/01/1998

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/04/2009