JOHN S BROKLOFF DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000802

License Status

NOT RENEWED

Business

Title

DDS

First Name

JOHN

Middle

Last Name

BROKLOFF

Business Name

JOHN S BROKLOFF DDS

Original Issue Date

07/30/1994

Effective Date

07/30/1994

Expiration Date

06/30/1999

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

05/10/2013