BRADLEY WANE ROBERTS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019769

License Status

ACTIVE

Business

First Name

BRADLEY WANE

Last Name

ROBERTS

Business Name

BRADLEY WANE ROBERTS

Original Issue Date

08/22/1985

Effective Date

08/29/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

08/29/2024