ELIZABETH MARIE BRUSA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013292

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

MARIE

Last Name

BRUSA

Business Name

ELIZABETH MARIE BRUSA

Original Issue Date

07/06/2010

Effective Date

09/28/2015

Expiration Date

09/30/2018

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018