GARTH IRVING BREWER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

ACTIVE

Business

First Name

GARTH

Middle

IRVING

Last Name

BREWER

Suffix

DDS

Business Name

GARTH IRVING BREWER DDS

Original Issue Date

03/10/1986

Effective Date

05/29/2024

Expiration Date

09/30/2027

City

OTTAWA

State

Zip

61350

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2024