PAMELA JANE BRUNSTROM - Dentist License in Illinois | # 020000835

PAMELA JANE BRUNSTROM

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000835

License Status

NOT RENEWED

Business

N

First Name

PAMELA JANE

Last Name

BRUNSTROM

Business Name

PAMELA JANE BRUNSTROM

Original Issue Date

07/18/1966

Effective Date

09/16/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018