BRANT SCOTT PITTSLEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028090

License Status

NOT RENEWED

Business

First Name

BRANT

Middle

SCOTT

Last Name

PITTSLEY

Business Name

BRANT SCOTT PITTSLEY

Original Issue Date

07/17/2009

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

DAVISBURG

State

Zip

48350

County

MICHIGAN

Ever Disciplined

LastModifiedDate

05/09/2022