LISA MARIE BRUNSMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011468

License Status

ACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

BRUNSMAN

Business Name

LISA MARIE BRUNSMAN

Original Issue Date

08/09/2005

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

MINIER

State

Zip

61759

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/30/2024