KATIE MARIE BRUNKE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016141

License Status

ACTIVE

Business

First Name

KATIE

Middle

MARIE

Last Name

BRUNKE

Business Name

KATIE MARIE BRUNKE

Original Issue Date

06/13/2018

Effective Date

08/30/2024

Expiration Date

09/30/2027

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/30/2024