GAY WINIFRED BRODERSEN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001749

License Status

ACTIVE

Business

First Name

GAY

Middle

WINIFRED

Last Name

BRODERSEN

Suffix

DDS

Business Name

GAY WINIFRED BRODERSEN DDS

Original Issue Date

08/28/1995

Effective Date

05/21/2024

Expiration Date

09/30/2027

City

SCHAUMBURG

State

Zip

60195

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

05/21/2024