BRADLEY EUGENE MARVEL DDS - Dentist License in Illinois | # 019016672

BRADLEY EUGENE MARVEL DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016672

License Status

INACTIVE

Business

N

First Name

BRADLEY

Middle

EUGENE

Last Name

MARVEL

Suffix

DDS

Business Name

BRADLEY EUGENE MARVEL DDS

Original Issue Date

06/29/1979

Effective Date

08/18/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

06/06/2012