TOM W BRENEMAN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022836

License Status

INACTIVE

Business

First Name

TOM W

Last Name

BRENEMAN

Suffix

DDS

Business Name

TOM W BRENEMAN DDS

Original Issue Date

04/07/1992

Effective Date

04/07/1992

Expiration Date

09/30/1994

City

EAU CLAIRE

State

Zip

54701

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005