BRENDA A MOORE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005113

License Status

NOT RENEWED

Business

First Name

BRENDA A

Last Name

MOORE

Business Name

BRENDA A MOORE

Original Issue Date

01/17/1983

Effective Date

01/17/1983

Expiration Date

09/30/1984

City

MINNETONKA

State

Zip

55343

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/12/2005