BRYAN STEPHEN BERTEAUX JR DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023482

License Status

INACTIVE

Business

First Name

BRYAN

Middle

STEPHEN

Last Name

BERTEAUX

Suffix

JR DMD

Business Name

BRYAN STEPHEN BERTEAUX JR DMD

Original Issue Date

12/13/1993

Effective Date

12/13/1993

Expiration Date

09/30/2000

City

ATLANTA

State

Zip

30349

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/17/2005