License Type:
Dentist
License Number:
2901014814
Name:
Henry G Bryan
License Issue Date:
07/21/1987
License Expiration Date:
07/21/2028
License Status:
Active
County:
Macomb
Specialty Certification:
Oral and Maxillofacial Surgery
Status:
Issue Date:
03/13/1991
Expiration Date:
City:
Roseville
State or Province:
Michigan
ZIP or Postal Code:
48066
CS Record Number:
5315170485
CS Status:
CS Expiration Date: