BRIAN A BAIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028249

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

BAIN DDS

Business Name

BRIAN A BAIN DDS

Original Issue Date

05/11/2010

Effective Date

05/11/2010

Expiration Date

09/30/2012

City

LINCOLN

State

Zip

68505

County

NEBRASKA

Ever Disciplined

LastModifiedDate

11/14/2012