NANCY JUNE BRISACK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000778

License Status

NOT RENEWED

Business

First Name

NANCY JUNE

Last Name

BRISACK

Business Name

NANCY JUNE BRISACK

Original Issue Date

07/15/1965

Effective Date

07/15/1965

City

MILILANI TOWN

State

Zip

96789

County

HAWAII

Ever Disciplined

LastModifiedDate

10/12/2005