Tom W Breneman Dds
InactiveIllinois license 019022836
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019022836
- Status
- Inactive
- First issued
- April 7, 1992
- Expired
- September 30, 1994
- License holder
- Tom W Breneman Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 04/07/1992
Contact
Eau Claire, WI 54701
Wisconsin County