CHRISTINE L BRINLEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

Last Name

BRINLEY

Business Name

CHRISTINE L BRINLEY

Original Issue Date

11/25/2008

Effective Date

11/25/2008

Expiration Date

09/30/2009

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/04/2009