CAROLYN A BRONKE WIND Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

First Name

CAROLYN A

Last Name

BRONKE WIND

Business Name

CAROLYN A BRONKE WIND

Original Issue Date

11/04/1992

Effective Date

11/04/1992

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005