BRENT ALAN SWINNEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

ALAN

Last Name

SWINNEY

Suffix

DDS

Business Name

BRENT ALAN SWINNEY DDS

Original Issue Date

10/21/1998

Effective Date

10/21/1998

Expiration Date

09/30/2000

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005