CELESTE PETRA BROADWAY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009375

License Status

ACTIVE

Business

First Name

CELESTE

Middle

PETRA

Last Name

BROADWAY

Business Name

CELESTE PETRA BROADWAY

Original Issue Date

10/06/1998

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

JOLIET

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

09/15/2024