BRIAN PATRICK HERMANSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

Title

DDS

First Name

BRIAN

Middle

PATRICK

Last Name

HERMANSON

Business Name

BRIAN PATRICK HERMANSON DDS

Original Issue Date

03/13/2015

Effective Date

03/13/2015

Expiration Date

09/30/2015

City

PIERRE

State

Zip

57501

County

SOUTH DAKOTA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016