HAROLD C BRANDLEIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000414

License Status

NOT RENEWED

Business

First Name

HAROLD C

Last Name

BRANDLEIN

Suffix

DDS

Business Name

HAROLD C BRANDLEIN DDS

Original Issue Date

11/22/1963

Effective Date

11/22/1963

Expiration Date

09/30/1994

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018