BRANDYN MATTHEW HERMAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

Title

DMD

First Name

BRANDYN

Middle

MATTHEW

Last Name

HERMAN

Business Name

BRANDYN MATTHEW HERMAN DMD

Original Issue Date

07/13/2015

Effective Date

07/13/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018