SAMUEL R BRUNNER DDS - Dentist License in Illinois | # 019023847

SAMUEL R BRUNNER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023847

License Status

NOT RENEWED

Business

N

First Name

SAMUEL R

Last Name

BRUNNER

Suffix

DDS

Business Name

SAMUEL R BRUNNER DDS

Original Issue Date

04/22/1995

Effective Date

04/22/1995

Expiration Date

09/30/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005