TINA MARIE BRENZA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

First Name

TINA

Middle

MARIE

Last Name

BRENZA

Suffix

DDS

Business Name

TINA MARIE BRENZA DDS

Original Issue Date

08/04/1998

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

GOLETA

State

Zip

93117

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024