BRIAN L O'BYRN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

INACTIVE

Business

First Name

BRIAN L

Last Name

O'BYRN

Business Name

BRIAN L O'BYRN

Original Issue Date

09/16/1992

Effective Date

08/27/2018

Expiration Date

12/31/2021

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/16/2021