MILES EDWIN BRUNDAGE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013316

License Status

NOT RENEWED

Business

First Name

MILES EDWIN

Last Name

BRUNDAGE

Suffix

DDS

Business Name

MILES EDWIN BRUNDAGE DDS

Original Issue Date

07/16/1968

Effective Date

07/16/2015

Expiration Date

09/30/2018

City

OAK PARK

State

Zip

60301

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018