ALEXANDER GILLES BRODEUR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030763

License Status

ACTIVE

Business

First Name

ALEXANDER

Middle

GILLES

Last Name

BRODEUR

Business Name

ALEXANDER GILLES BRODEUR

Original Issue Date

06/23/2016

Effective Date

07/02/2024

Expiration Date

09/30/2027

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

07/02/2024