ELIZABETH HELEN BRACK - Dentist License in Minnesota | # 019028692

ELIZABETH HELEN BRACK

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028692

License Status

NOT RENEWED

Business

N

First Name

ELIZABETH

Middle

HELEN

Last Name

BRACK

Business Name

ELIZABETH HELEN BRACK

Original Issue Date

06/23/2011

Effective Date

09/11/2018

Expiration Date

01/31/2022

State

MN

Ever Disciplined

N

LastModifiedDate

05/09/2022