BRIAN CARL PAINTER DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012765

License Status

INACTIVE

Business

First Name

BRIAN CARL

Last Name

PAINTER

Suffix

DDS

Business Name

BRIAN CARL PAINTER DDS

Original Issue Date

07/15/1965

Effective Date

07/15/1965

Expiration Date

09/30/2002

City

SHERWOOD

State

Zip

54169

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005