BRANDI SUE MONTAGNA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011558

License Status

INACTIVE

Business

First Name

BRANDI

Middle

SUE

Last Name

MONTAGNA

Business Name

BRANDI SUE MONTAGNA

Original Issue Date

11/09/2005

Effective Date

09/22/2009

Expiration Date

09/30/2012

City

WILTON

State

Zip

52778

County

IOWA

Ever Disciplined

LastModifiedDate

06/06/2012