BRADLEY CARLYLE WRIGHT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

BRADLEY CARLYLE

Last Name

WRIGHT

Business Name

BRADLEY CARLYLE WRIGHT

Original Issue Date

11/27/2007

Effective Date

09/25/2009

Expiration Date

09/30/2012

City

HOMER GLEN

State

Zip

60491

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012