PAMELA ANN BRUNK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004264

License Status

NOT RENEWED

Business

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

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005