BRENT RICHARD UNRUH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017096

License Status

NOT RENEWED

Business

First Name

BRENT RICHARD

Last Name

UNRUH

Suffix

DMD

Business Name

BRENT RICHARD UNRUH DMD

Original Issue Date

04/18/1980

Effective Date

04/18/1980

Expiration Date

09/30/1984

City

COEUR DALENE

State

Zip

83814

County

IDAHO

Ever Disciplined

LastModifiedDate

10/12/2005