NADINE BRODALA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000825

License Status

ACTIVE

Business

First Name

NADINE

Last Name

BRODALA

Suffix

DDS

Business Name

NADINE BRODALA DDS

Original Issue Date

10/03/2011

Effective Date

08/16/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

08/16/2024