BRITTANY M BOCKHORST Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

First Name

BRITTANY

Middle

Last Name

BOCKHORST

Business Name

BRITTANY M BOCKHORST

Original Issue Date

07/01/2015

Effective Date

06/13/2018

Expiration Date

01/31/2022

City

RED BUD

State

Zip

62278

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022