DAVID BRADFORD RODENBERG DDS - Dentist License in Illinois | # 019018875

DAVID BRADFORD RODENBERG DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018875

License Status

NOT RENEWED

Business

N

First Name

DAVID BRADFORD

Last Name

RODENBERG

Suffix

DDS

Business Name

DAVID BRADFORD RODENBERG DDS

Original Issue Date

10/06/1983

Effective Date

09/30/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

Y

LastModifiedDate

07/14/2014

Case Number

2012005198

Action

Fine

Discipline Start Date

07/02/2014

Discipline Reason

for practicing on a suspended license, substandard dental work and treatment, and failure to submit records.