BRAXTON RAGLAND COLES DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

BRAXTON RAGLAND

Last Name

COLES

Suffix

DDS

Business Name

BRAXTON RAGLAND COLES DDS

Original Issue Date

01/05/1988

Effective Date

01/05/1988

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005