KATHY C BRADDOCK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007628

License Status

NOT RENEWED

Business

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

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005