ROBERT C BRACKETT DDS 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

ROBERT

Middle

Last Name

BRACKETT

Suffix

DDS

Business Name

ROBERT C BRACKETT DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1994

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005