BRIAN C RAU DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026034

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

RAU

Suffix

DDS

Business Name

BRIAN C RAU DDS

Original Issue Date

12/09/2002

Effective Date

12/09/2002

Expiration Date

09/30/2004

City

FLAGSTAFF

State

Zip

86001

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005