SCOTT D BRENNER DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

CANCELLED

Business

First Name

SCOTT D

Last Name

BRENNER

Suffix

DDS

Business Name

SCOTT D BRENNER DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

VERNON HILLS

State

Zip

60061

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005