EDWARD ELAM BRUEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

Title

DMD

First Name

EDWARD

Middle

ELAM

Last Name

BRUEN

Business Name

EDWARD ELAM BRUEN DMD

Original Issue Date

01/01/1998

Effective Date

09/06/2018

Expiration Date

01/31/2022

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022