Diane M Brandlein
ExpiredIllinois license 31*****04
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 31*****04
- Status
- Expired (Not Renewed)
- First issued
- March 18, 1985
- Expired
- September 30, 1986
- License holder
- Diane M Brandlein
- Entity type
- Individual
Classifications
- Licensed Dentist Controlled Substance (Dental) Dental
More from the license record
- Controlled substance schedules
- II III IV V
- Current term began
- 03/18/1985
Other Illinois licenses under this name
-
IL
ExpiredSarasota, FLExpired Jan 31, 2022
Contact
Rockford, IL 61101
Winnebago County