BRIAN MARC KARSHEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

MARC

Last Name

KARSHEN

Suffix

DDS

Business Name

BRIAN MARC KARSHEN DDS

Original Issue Date

08/04/1999

Effective Date

08/04/1999

Expiration Date

09/30/2006

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006