BRENT T HANLIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

BRENT T

Last Name

HANLIN

Suffix

DDS

Business Name

BRENT T HANLIN DDS

Original Issue Date

01/04/1991

Effective Date

01/04/1991

Expiration Date

09/30/1992

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005