BRADLEY EUGENE MARVEL DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016672

License Status

INACTIVE

Business

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

City

HAMPSHIRE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

06/06/2012