License holder summary

Fortner, Brandi Faye is a Dental Hygienist licensed to practice in Missouri. The address on file for Fortner, Brandi Faye is 612 Goldenrain Tree Dr , Liberty 64068. This licensed professional license is current. The license was granted 05/27/2004 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Fortner, Brandi Faye
Dental Hygienist
License number
2004013378  
Date granted
05/27/2004
Date expires
11/30/2014
Class
Dental Hygienist
Status
Clear
Address
612 Goldenrain Tree Dr 
licensingmissouri.org
ID 2001777
LAST UPDATED 2024-03-27 05:25:44 UTC

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