Samuel R Brunner Dds
ExpiredIllinois license 019023847
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019023847
- Status
- Expired (Not Renewed)
- First issued
- April 22, 1995
- Expired
- September 30, 1996
- License holder
- Samuel R Brunner Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 04/22/1995
Other Illinois licenses under this name
-
IL
ExpiredMorton, ILExpired Sep 30, 1996
-
IL
ExpiredChicago, ILExpired Sep 30, 1996
Contact
Morton, IL 61550
Tazewell County