BRIAN A HAMANN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

BRIAN A

Last Name

HAMANN

Suffix

DDS

Business Name

BRIAN A HAMANN DDS

Original Issue Date

02/24/1992

Effective Date

09/04/2012

Expiration Date

09/30/2015

City

BELVIDERE

State

Zip

61008

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016