ALAN BURTON BRONSTEIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

ALAN BURTON

Last Name

BRONSTEIN

Suffix

DDS

Business Name

ALAN BURTON BRONSTEIN DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

AUGUSTA

State

Zip

30907

County

GEORGIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005