LORNA M BRUNHOFER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

LORNA M

Last Name

BRUNHOFER

Business Name

LORNA M BRUNHOFER

Original Issue Date

11/30/1992

Effective Date

11/30/1992

Expiration Date

09/30/1996

City

GREAT LAKES

State

Zip

60088

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005