BRIAN ROBERT CRAWFORD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020071

License Status

NOT RENEWED

Business

First Name

BRIAN ROBERT

Last Name

CRAWFORD

Business Name

BRIAN ROBERT CRAWFORD

Original Issue Date

06/25/1986

Effective Date

09/20/2018

Expiration Date

01/31/2022

City

POCATELLO

State

Zip

83204

County

IDAHO

Ever Disciplined

LastModifiedDate

05/09/2022