NICOLE M BRUNER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014953

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

BRUNER

Business Name

NICOLE M BRUNER

Original Issue Date

10/06/2014

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

RIO

State

Zip

61472

County

KNOX

Ever Disciplined

LastModifiedDate

05/02/2024