EDWARD ELAM BRUEN DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001063

License Status

INACTIVE

Business

Title

DMD

First Name

EDWARD

Middle

ELAM

Last Name

BRUEN

Business Name

EDWARD ELAM BRUEN DMD

Original Issue Date

06/12/1980

Effective Date

10/01/2009

Expiration Date

09/30/2012

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

06/06/2012