GREGORY D BROWN SR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

GREGORY D

Last Name

BROWN SR

Suffix

DDS

Business Name

GREGORY D BROWN SR DDS

Original Issue Date

07/14/1995

Effective Date

07/14/1995

Expiration Date

09/30/1996

City

EAST ST LOUIS

State

Zip

62203

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005