SUSAN M BRUCH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004032

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

BRUCH

Business Name

SUSAN M BRUCH

Original Issue Date

10/04/1979

Effective Date

08/20/2018

Expiration Date

01/31/2022

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/09/2022