MARK GREGORY BRUNK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019107

License Status

ACTIVE

Business

First Name

MARK GREGORY

Last Name

BRUNK

Business Name

MARK GREGORY BRUNK

Original Issue Date

08/02/1984

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

09/12/2024