BRANDON WESLEY MECKELBERG DDS - Dentist License in Wisconsin | # 019031228

BRANDON WESLEY MECKELBERG DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031228

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

BRANDON

Middle

WESLEY

Last Name

MECKELBERG

Business Name

BRANDON WESLEY MECKELBERG DDS

Original Issue Date

06/22/2017

Effective Date

06/22/2017

Expiration Date

09/30/2018

State

WI

Ever Disciplined

N

LastModifiedDate

10/31/2018