RICHARD J BRENNER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

First Name

RICHARD J

Last Name

BRENNER

Business Name

RICHARD J BRENNER

Original Issue Date

03/18/1987

Effective Date

09/02/2024

Expiration Date

09/30/2027

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/02/2024