DIANA T BRAWKA-WEBB DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

ACTIVE

Business

First Name

DIANA T

Last Name

BRAWKA-WEBB

Suffix

DDS

Business Name

DIANA T BRAWKA-WEBB DDS

Original Issue Date

12/10/2009

Effective Date

08/22/2024

Expiration Date

09/30/2027

City

OSWEGO

State

Zip

60543

County

KENDALL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/22/2024