BRADLEY WANE ROBERTS - Dentist License in Illinois | # 137000241

BRADLEY WANE ROBERTS

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000241

License Status

ACTIVE

Business

N

First Name

BRADLEY WANE

Last Name

ROBERTS

Business Name

BRADLEY WANE ROBERTS

Original Issue Date

03/14/1990

Effective Date

09/11/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

09/11/2024