BRENT FREDRICK NEWBY DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030055

License Status

INACTIVE

Business

Title

DDS

First Name

BRENT

Middle

FREDRICK

Last Name

NEWBY

Business Name

BRENT FREDRICK NEWBY DDS

Original Issue Date

09/23/2014

Effective Date

09/23/2014

Expiration Date

09/30/2015

City

LEXINGTON

State

Zip

40503

County

KENTUCKY

Ever Disciplined

LastModifiedDate

06/08/2015