BRENT RICHARD UNRUH DMD - Dentist License in Idaho | # 021001064

BRENT RICHARD UNRUH DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001064

License Status

NOT RENEWED

Business

N

First Name

BRENT RICHARD

Last Name

UNRUH

Suffix

DMD

Business Name

BRENT RICHARD UNRUH DMD

Original Issue Date

06/12/1980

Effective Date

06/12/1980

Expiration Date

09/30/1984

State

ID

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

10/13/2005