GARY M BRT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000104

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

BRT

Business Name

GARY M BRT

Original Issue Date

10/04/1983

Effective Date

10/04/1983

Expiration Date

01/01/1998

City

RENTON

State

Zip

98056

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/12/2005