BRANDON M WAINWRIGHT DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

First Name

BRANDON

Middle

Last Name

WAINWRIGHT

Suffix

DDS

Business Name

BRANDON M WAINWRIGHT DDS

Original Issue Date

09/20/2006

Effective Date

09/20/2024

Expiration Date

09/30/2027

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/20/2024