License Directory

Brian Anthony Prudent Dmd

Active

Illinois license 137000803

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
137000803
Status
Active
First issued
November 17, 2010
Expires
September 30, 2027
License holder
Brian Anthony Prudent Dmd
Entity type
Individual

Classifications

  • Dental Sedation Permit Dental

More from the license record

Specialty
Conscious Sedation, Parenteral
Current term began
05/01/2024

Other Illinois licenses under this name

Contact

Moline, IL 61265
Rock Island County