JALISA NICOLE BRADLEY DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002011

License Status

EXPIRED

Business

Title

DDS

First Name

JALISA

Middle

NICOLE

Last Name

BRADLEY

Business Name

JALISA NICOLE BRADLEY DDS

Original Issue Date

08/11/2016

Effective Date

07/01/2016

Expiration Date

07/01/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

09/19/2017