VICKIE L BRODERSEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007346

License Status

ACTIVE

Business

First Name

VICKIE L

Last Name

BRODERSEN

Business Name

VICKIE L BRODERSEN

Original Issue Date

01/29/1991

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/06/2024