BRAD S BUCKINGHAM DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028965

License Status

NOT RENEWED

Business

First Name

BRAD

Middle

Last Name

BUCKINGHAM

Suffix

DMD

Business Name

BRAD S BUCKINGHAM DMD

Original Issue Date

04/25/2012

Effective Date

08/22/2012

Expiration Date

09/30/2015

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016