STEPHANIE MARIE BRUNTZEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017509

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

MARIE

Last Name

BRUNTZEL

Business Name

STEPHANIE MARIE BRUNTZEL

Original Issue Date

01/20/2022

Effective Date

01/20/2022

Expiration Date

09/30/2024

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

02/04/2025