MICHELLE R BRENNER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012868

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

BRENNER

Business Name

MICHELLE R BRENNER

Original Issue Date

06/18/2009

Effective Date

06/04/2024

Expiration Date

09/30/2027

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

06/04/2024