BRENT THOMAS GARRISON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017614

License Status

NOT RENEWED

Business

First Name

BRENT THOMAS

Last Name

GARRISON

Suffix

DDS

Business Name

BRENT THOMAS GARRISON DDS

Original Issue Date

07/08/1981

Effective Date

07/08/1981

Expiration Date

09/30/1984

City

INDIANAPOLIS

State

Zip

46250

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005