EDGAR JAMES BREDA JR DDS - Dentist License in Illinois | # 018000135

EDGAR JAMES BREDA JR DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000135

License Status

EXPIRED

Business

N

First Name

EDGAR JAMES

Last Name

BREDA JR

Suffix

DDS

Business Name

EDGAR JAMES BREDA JR DDS

Original Issue Date

05/24/1988

Effective Date

05/24/1988

Expiration Date

05/24/1990

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/12/2005