ROBERT H BRYAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

ROBERT H

Last Name

BRYAN

Suffix

DMD

Business Name

ROBERT H BRYAN DMD

Original Issue Date

01/01/1998

Effective Date

09/03/2009

Expiration Date

09/30/2012

City

METROPOLIS

State

Zip

62960

County

MASSAC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012