BRANDON NEIL SIMS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

NEIL

Last Name

SIMS

Business Name

BRANDON NEIL SIMS

Original Issue Date

07/28/2006

Effective Date

07/28/2006

Expiration Date

09/30/2009

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009