BRIAN R SCHWARZBROTT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

SCHWARZBROTT

Suffix

DDS

Business Name

BRIAN R SCHWARZBROTT DDS

Original Issue Date

10/04/2002

Effective Date

10/04/2002

Expiration Date

09/30/2004

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005