BRENT L CRENSHAW DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

Title

DMD

First Name

BRENT

Middle

Last Name

CRENSHAW

Business Name

BRENT L CRENSHAW DMD

Original Issue Date

07/06/2020

Effective Date

04/08/2022

Expiration Date

09/30/2024

City

WORDEN

State

Zip

62097

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025