BRIAN MITCHELL PELSUE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

ACTIVE

Business

First Name

BRIAN

Middle

MITCHELL

Last Name

PELSUE

Suffix

DDS

Business Name

BRIAN MITCHELL PELSUE DDS

Original Issue Date

10/08/2021

Effective Date

05/12/2024

Expiration Date

09/30/2027

City

JANESVILLE

State

Zip

53545

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2024