CAROLYN A BRONKE WIND Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

ACTIVE

Business

First Name

CAROLYN A

Last Name

BRONKE WIND

Business Name

CAROLYN A BRONKE WIND

Original Issue Date

10/06/1993

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024