DONALD BERNARD BRAUNAGEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010806

License Status

NOT RENEWED

Business

First Name

DONALD BERNARD

Last Name

BRAUNAGEL

Business Name

DONALD BERNARD BRAUNAGEL

Original Issue Date

10/06/1955

Effective Date

09/07/2012

Expiration Date

09/30/2015

City

PEORIA

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

02/08/2016