LYNETTE K BRUNTJEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005259

License Status

INACTIVE

Business

First Name

LYNETTE K

Last Name

BRUNTJEN

Business Name

LYNETTE K BRUNTJEN

Original Issue Date

07/18/1983

Effective Date

06/25/2018

Expiration Date

12/31/2021

City

ST CHARLES

State

Zip

60175

Ever Disciplined

LastModifiedDate

12/30/2021