JEFFREY T BRUNSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020185

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

Last Name

BRUNSON

Business Name

JEFFREY T BRUNSON

Original Issue Date

07/28/1986

Effective Date

08/02/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/02/2024