BRETT E SPALDING Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

ACTIVE

Business

First Name

BRETT

Middle

Last Name

SPALDING

Business Name

BRETT E SPALDING

Original Issue Date

08/07/2008

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

HIGHLAND

State

Zip

62249

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024