KATHRYN R VER BRUGGE

Business Entity
NOT RENEWED

Dentist

TEMPORARY DENTAL TRAINING LICENSE

018000320

NOT RENEWED

N

KATHRYN R

VER BRUGGE

KATHRYN R VER BRUGGE

04/18/1989

04/18/1989

06/14/1993

CHICAGO

IL

60612

COOK

Oral and Maxillofacial Surgery

N

10/12/2005