SUSAN M W BRANDENBURG DDS Dentist License verification

SUSAN M W BRANDENBURG DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014803

License Status

NOT RENEWED

Business

First Name

SUSAN M W

Last Name

BRANDENBURG

Suffix

DDS

Business Name

SUSAN M W BRANDENBURG DDS

Original Issue Date

07/17/1974

Effective Date

07/17/1974

Expiration Date

09/30/2002

State

Ever Disciplined

LastModifiedDate

10/12/2005

Case Number

1999004355

Action

Revocation

Discipline Start Date

04/27/2001

Discipline Reason

Self-prescribed excessive amounts of controlled substances, failed to maintain adequate records or inventory of dispensing controlled substances and failed to submit proof of required continuing education hours.