BRANDON MARSHALL WEST DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

INACTIVE

Business

Title

DDS

First Name

BRANDON

Middle

MARSHALL

Last Name

WEST

Business Name

BRANDON MARSHALL WEST DDS

Original Issue Date

09/04/2019

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024