BRIAN A FERBER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000597

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

FERBER

Suffix

DMD

Business Name

BRIAN A FERBER DMD

Original Issue Date

09/23/2003

Effective Date

09/23/2003

Expiration Date

09/30/2004

City

GLEN CARBON

State

Zip

62034

County

MADISON

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/17/2005