KATHY C BRADDOCK - Dentist License in Illinois | # 020007628

KATHY C BRADDOCK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007628

License Status

NOT RENEWED

Business

N

First Name

KATHY C

Last Name

BRADDOCK

Business Name

KATHY C BRADDOCK

Original Issue Date

03/19/1992

Effective Date

03/19/1992

Expiration Date

09/30/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005