EDWIN A BRUNDAGE DDS - Dentist License in Illinois | # 019007183

EDWIN A BRUNDAGE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019007183

License Status

NOT RENEWED

Business

N

First Name

EDWIN A

Last Name

BRUNDAGE

Suffix

DDS

Business Name

EDWIN A BRUNDAGE DDS

Original Issue Date

07/30/1935

Effective Date

07/30/1935

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005