DONNA L BURGUND Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001282

License Status

ACTIVE

Business

First Name

DONNA L

Last Name

BURGUND

Business Name

DONNA L BURGUND

Original Issue Date

07/07/1970

Effective Date

09/13/2024

Expiration Date

09/30/2027

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

09/13/2024