BARTON L BRUNTJEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

First Name

BARTON L

Last Name

BRUNTJEN

Business Name

BARTON L BRUNTJEN

Original Issue Date

10/02/1987

Effective Date

06/19/2024

Expiration Date

09/30/2027

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2024