BREANNA GARMAN WHITTEMORE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

Title

DDS

First Name

BREANNA

Middle

GARMAN

Last Name

WHITTEMORE

Business Name

BREANNA GARMAN WHITTEMORE DDS

Original Issue Date

09/29/2018

Effective Date

09/29/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022