ANGELIQUE NICOLE BRUNO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013849

License Status

NOT RENEWED

Business

First Name

ANGELIQUE

Middle

NICOLE

Last Name

BRUNO

Business Name

ANGELIQUE NICOLE BRUNO

Original Issue Date

01/26/2012

Effective Date

12/17/2018

Expiration Date

01/31/2022

City

OCONOMOWOC

State

Zip

53066

Ever Disciplined

LastModifiedDate

05/09/2022