LEIGH A BRANDENBURG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029684

License Status

NOT RENEWED

Business

First Name

LEIGH

Middle

Last Name

BRANDENBURG

Business Name

LEIGH A BRANDENBURG

Original Issue Date

11/22/2013

Effective Date

11/22/2013

Expiration Date

09/30/2015

City

CEDARBURG

State

Zip

53012

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016