BRADLEY WANE ROBERTS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001301

License Status

ACTIVE

Business

First Name

BRADLEY WANE

Last Name

ROBERTS

Business Name

BRADLEY WANE ROBERTS

Original Issue Date

09/09/1986

Effective Date

08/29/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

08/29/2024