PAMELA JANE BRUNSTROM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000835

License Status

NOT RENEWED

Business

First Name

PAMELA JANE

Last Name

BRUNSTROM

Business Name

PAMELA JANE BRUNSTROM

Original Issue Date

07/18/1966

Effective Date

09/16/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018