BRIAN C CROSS - Dentist License in Wisconsin | # 019020191

BRIAN C CROSS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020191

License Status

NOT RENEWED

Business

N

First Name

BRIAN C

Last Name

CROSS

Business Name

BRIAN C CROSS

Original Issue Date

07/28/1986

Effective Date

09/16/2015

Expiration Date

09/30/2018

State

WI

Ever Disciplined

N

LastModifiedDate

10/31/2018