LISA A BRENDEL
Dentist in Palm Coast, FL

License number
Florida 131648
Issued Date
Sep 4, 2012
Effective Date
Sep 4, 2012
Category
Health Care
Type
Dental Radiographer
Address
Address
PO Box 351874, Palm Coast, FL 32135
Phone
(386) 864-0756
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

See more information about LISA A BRENDEL at bizstanding.com

LISA A. BRENDEL, PA

Palm Coast, FL  -  Ormond Beach, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Apr 2, 2004
Inactive since:
Sep 26, 2008
Addresses:
38 Lewis Dr, Palm Coast, FL 32137 (Physical)
Ormond Beach, FL 32175 (Mailing)
PO Box 351874, Palm Coast, FL 32135
State ID:
P04000056618
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Vice President:
Lisa A Brendel President, Treasurer, Secretary, Vice President, inactive, 38 Lewis Dr, Palm Coast, FL 32137 (Physical)
Agent:
Lisa Brendel,38 Lewis Dr, Palm Coast, FL 32137 (Physical)
EIN:
200944964

Dentist licenses in Florida