BRENT FREDRICK NEWBY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016