BRADLEY EUGENE MARVEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

EUGENE

Last Name

MARVEL

Suffix

DDS

Business Name

BRADLEY EUGENE MARVEL DDS

Original Issue Date

01/01/1998

Effective Date

08/18/2009

Expiration Date

09/30/2012

City

EAST DUNDEE

State

Zip

60118

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012