License holder summary

BRETT MICHAEL QUACKENBUSH is a Dental Intern Permit licensed to practice in Indiana. The address on file for BRETT MICHAEL QUACKENBUSH is INDIANAPOLIS IN 46222. This licensed professional license is not current. The license was granted 07/24/1998 and expired on 07/29/2000.

Indiana

Professional Licensing Agency

BRETT MICHAEL QUACKENBUSH
Dental Intern Permit
License number
42000140A
Date granted
07/24/1998
Date expires
07/29/2000
Class
Dental Intern Permit
Status
Expired
Address
INDIANAPOLIS IN 46222
indianalicensing.org
ID 5260505
LAST UPDATED 2024-03-21 07:03:13 UTC

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