CARL BRUCE CONRAD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000817

License Status

NOT RENEWED

Business

Title

DDS

First Name

CARL

Middle

BRUCE

Last Name

CONRAD

Business Name

CARL BRUCE CONRAD DDS

Original Issue Date

01/14/1975

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/31/2018