BRANDON WESLEY MECKELBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031228

License Status

NOT RENEWED

Business

Title

DDS

First Name

BRANDON

Middle

WESLEY

Last Name

MECKELBERG

Business Name

BRANDON WESLEY MECKELBERG DDS

Original Issue Date

06/22/2017

Effective Date

06/22/2017

Expiration Date

09/30/2018

City

WAUTOMA

State

Zip

54982

Ever Disciplined

LastModifiedDate

10/31/2018