BRADFORD CLYDE WASHINGTON Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001767

License Status

EXPIRED

Business

First Name

BRADFORD

Middle

CLYDE

Last Name

WASHINGTON

Business Name

BRADFORD CLYDE WASHINGTON

Original Issue Date

06/17/2010

Effective Date

08/10/2010

Expiration Date

08/10/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/07/2013