LYNN M BRENEMAN WISONG Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027111

License Status

INACTIVE

Business

First Name

LYNN

Middle

Last Name

BRENEMAN WISONG

Business Name

LYNN M BRENEMAN WISONG

Original Issue Date

06/29/2006

Effective Date

07/10/2012

Expiration Date

09/30/2015

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

06/08/2015