RONALD D BROWNFIELD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

RONALD D

Last Name

BROWNFIELD

Business Name

RONALD D BROWNFIELD

Original Issue Date

12/02/1987

Effective Date

12/02/1987

Expiration Date

09/30/1990

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005