BRAXTON RAGLAND COLES DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011982

License Status

NOT RENEWED

Business

First Name

BRAXTON RAGLAND

Last Name

COLES

Suffix

DDS

Business Name

BRAXTON RAGLAND COLES DDS

Original Issue Date

08/15/1961

Effective Date

08/15/1961

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005