BRIAN C CROSS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020191

License Status

NOT RENEWED

Business

First Name

BRIAN C

Last Name

CROSS

Business Name

BRIAN C CROSS

Original Issue Date

07/28/1986

Effective Date

09/16/2015

Expiration Date

09/30/2018

City

MANITOWOC

State

Zip

54220

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/31/2018