TANNER MICHAEL BROWN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032146

License Status

ACTIVE

Business

First Name

TANNER

Middle

MICHAEL

Last Name

BROWN

Business Name

TANNER MICHAEL BROWN

Original Issue Date

06/03/2019

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

SAINT CHARLES

State

Zip

63304

Ever Disciplined

LastModifiedDate

05/06/2024