ANDREW T BRACCI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026285

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

BRACCI

Suffix

DMD

Business Name

ANDREW T BRACCI DMD

Original Issue Date

10/07/2003

Effective Date

07/13/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012