LADEANE K FATTORE-BRUNO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

LADEANE

Middle

Last Name

FATTORE-BRUNO

Suffix

DDS

Business Name

LADEANE K FATTORE-BRUNO DDS

Original Issue Date

01/01/1998

Effective Date

07/06/2009

Expiration Date

09/30/2012

City

GOLDEN VALLEY

State

Zip

86413

County

ARIZONA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012