LAURA JANE BRUYA DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001756

License Status

EXPIRED

Business

First Name

LAURA

Middle

JANE

Last Name

BRUYA DDS

Business Name

LAURA JANE BRUYA DDS

Original Issue Date

08/14/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

07/08/2010