DAVID J BROWN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

DAVID J

Last Name

BROWN

Suffix

DDS

Business Name

DAVID J BROWN DDS

Original Issue Date

08/30/1991

Effective Date

08/30/1991

Expiration Date

09/30/2002

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005