BRENT TOLLERUD DMD - Dentist License in Minnesota | # 31*****72

BRENT TOLLERUD DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

BRENT

Last Name

TOLLERUD

Business Name

BRENT TOLLERUD DMD

Original Issue Date

07/09/2018

Effective Date

07/09/2018

Expiration Date

01/31/2022

State

MN

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

05/09/2022