LISA M BRANDT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008579

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

BRANDT

Business Name

LISA M BRANDT

Original Issue Date

08/10/1995

Effective Date

08/10/1995

Expiration Date

09/30/2004

City

CARMEL

State

Zip

46033

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005