ELIZABETH HELEN BRACK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028692

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

HELEN

Last Name

BRACK

Business Name

ELIZABETH HELEN BRACK

Original Issue Date

06/23/2011

Effective Date

09/11/2018

Expiration Date

01/31/2022

City

MINNEAPOLIS

State

Zip

55413

County

MINNESOTA

Ever Disciplined

LastModifiedDate

05/09/2022