PAMELA ANN BRUNK - Dentist License in Illinois | # 020004264

PAMELA ANN BRUNK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004264

License Status

NOT RENEWED

Business

N

First Name

PAMELA ANN

Last Name

BRUNK

Business Name

PAMELA ANN BRUNK

Original Issue Date

07/30/1980

Effective Date

07/30/1980

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005