BRADLEY SCOTT DEGROOT DDS - Dentist License in Illinois | # 137000937

BRADLEY SCOTT DEGROOT DDS

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000937

License Status

ACTIVE

Business

N

Title

DDS

First Name

BRADLEY

Middle

SCOTT

Last Name

DEGROOT

Business Name

BRADLEY SCOTT DEGROOT DDS

Original Issue Date

09/25/2015

Effective Date

05/20/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

05/20/2024