SAMUEL R BRUNNER DDS
Licensed Dentist Controlled Substance
Illinois 319012609 Not Renewed
This Illinois license was held by SAMUEL R BRUNNER DDS. The license is no longer active. It was granted on 09/20/1995 and expired on 09/30/1996
LICENSE DETAILS
- License Number: 319012609
- Category: LICENSED DENTIST CONTROLLED SUBSTANCE
- Status: Not Renewed
- Date Granted: 09/20/1995 (almost 31 years ago)
- Expiry Date: 09/30/1996 (over 29 years ago)
LOCATIONS
A Address
MORTON, IL 61550