GARY MICHAEL BROWN 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

GARY MICHAEL

Last Name

BROWN

Suffix

DDS

Business Name

GARY MICHAEL BROWN DDS

Original Issue Date

01/01/1998

Effective Date

07/02/2009

Expiration Date

09/30/2012

City

CARBONDALE

State

Zip

62902

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012