EUGENE EARL BRANDER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017122

License Status

NOT RENEWED

Business

Title

DDS

First Name

EUGENE

Middle

EARL

Last Name

BRANDER

Business Name

EUGENE EARL BRANDER DDS

Original Issue Date

06/01/1980

Effective Date

07/24/2012

Expiration Date

09/30/2015

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/08/2016