License Type:
Dentist
License Number:
2901602028
Name:
Lourdes C Brizard
License Issue Date:
02/23/2024
License Expiration Date:
02/23/2027
License Status:
Active
County:
Ingham
City:
Miami
State or Province:
Florida
ZIP or Postal Code:
33130
CS Record Number:
5315246712
CS Status:
CS Expiration Date: