BRENT L CRENSHAW DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032764

License Status

NOT RENEWED

Business

Title

DMD

First Name

BRENT

Middle

Last Name

CRENSHAW

Business Name

BRENT L CRENSHAW DMD

Original Issue Date

06/29/2020

Effective Date

01/01/2022

Expiration Date

09/30/2024

City

WORDEN

State

Zip

62097

County

MADISON

Ever Disciplined

LastModifiedDate

02/04/2025