BRIAN THOMAS FOSSE DDS - Dentist License in Michigan | # 019015964

BRIAN THOMAS FOSSE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015964

License Status

NOT RENEWED

Business

N

First Name

BRIAN THOMAS

Last Name

FOSSE

Suffix

DDS

Business Name

BRIAN THOMAS FOSSE DDS

Original Issue Date

06/27/1977

Effective Date

06/27/1977

Expiration Date

09/30/1988

State

MI

Ever Disciplined

N

LastModifiedDate

10/12/2005