ROBERT J BRENNER 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

ROBERT J

Last Name

BRENNER

Business Name

ROBERT J BRENNER

Original Issue Date

12/08/1986

Effective Date

12/08/1986

Expiration Date

09/30/1996

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005