BRADLEY SCOTT DEGROOT DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000937

License Status

ACTIVE

Business

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

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

05/20/2024