BRITTANY BOOMGARDEN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

Title

DDS

First Name

BRITTANY

Last Name

BOOMGARDEN

Business Name

BRITTANY BOOMGARDEN DDS

Original Issue Date

07/15/2020

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

FITCHBURG

State

Zip

53711

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024