BRADLEY L PEARSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000623

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

Last Name

PEARSON

Business Name

BRADLEY L PEARSON

Original Issue Date

06/26/1992

Effective Date

06/26/1992

Expiration Date

06/30/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005