ROCHELLE MARIE BRUSICH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005698

License Status

NOT RENEWED

Business

First Name

ROCHELLE MARIE

Last Name

BRUSICH

Business Name

ROCHELLE MARIE BRUSICH

Original Issue Date

10/05/1984

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

05/09/2022