BRIAN THOMAS FOSSE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015964

License Status

NOT RENEWED

Business

First Name

BRIAN THOMAS

Last Name

FOSSE

Suffix

DDS

Business Name

BRIAN THOMAS FOSSE DDS

Original Issue Date

06/27/1977

Effective Date

06/27/1977

Expiration Date

09/30/1988

City

NORTH MUSKEGON

State

Zip

49445

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005