NATHAN A BRAVERMAN MD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000657

License Status

NOT RENEWED

Business

Title

MD DMD

First Name

NATHAN

Middle

Last Name

BRAVERMAN

Business Name

NATHAN A BRAVERMAN MD DMD

Original Issue Date

08/20/1992

Effective Date

08/20/1992

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005