ROSSIE BRENDER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001065

License Status

NOT RENEWED

Business

First Name

ROSSIE

Last Name

BRENDER

Business Name

ROSSIE BRENDER

Original Issue Date

08/07/1997

Effective Date

08/07/1997

Expiration Date

12/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/12/2005