LAUREL J BRAHM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006317

License Status

NOT RENEWED

Business

First Name

LAUREL J

Last Name

BRAHM

Business Name

LAUREL J BRAHM

Original Issue Date

12/26/1986

Effective Date

12/26/1986

Expiration Date

09/30/1990

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005