DIANE M BRANDLEIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019357

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

BRANDLEIN

Business Name

DIANE M BRANDLEIN

Original Issue Date

10/05/1984

Effective Date

07/02/2018

Expiration Date

01/31/2022

City

SARASOTA

State

Zip

34236

County

FLORIDA

Ever Disciplined

LastModifiedDate

05/09/2022