GAY WINIFRED BRODERSEN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023646

License Status

ACTIVE

Business

First Name

GAY

Middle

WINIFRED

Last Name

BRODERSEN

Suffix

DDS

Business Name

GAY WINIFRED BRODERSEN DDS

Original Issue Date

08/02/1994

Effective Date

05/21/2024

Expiration Date

09/30/2027

City

SCHAUMBURG

State

Zip

60195

County

COOK

Ever Disciplined

LastModifiedDate

05/21/2024