BRIAN PATRICK HERMANSON DDS - Dentist License in South Dakota | # 31*****22

BRIAN PATRICK HERMANSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

BRIAN

Middle

PATRICK

Last Name

HERMANSON

Business Name

BRIAN PATRICK HERMANSON DDS

Original Issue Date

03/13/2015

Effective Date

03/13/2015

Expiration Date

09/30/2015

State

SD

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

02/08/2016