HAROLD C BRANDLEIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011065

License Status

NOT RENEWED

Business

First Name

HAROLD C

Last Name

BRANDLEIN

Suffix

DDS

Business Name

HAROLD C BRANDLEIN DDS

Original Issue Date

08/21/1957

Effective Date

08/21/1957

Expiration Date

09/30/1994

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005