CESAR BRAVO DMD 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

CESAR

Last Name

BRAVO

Suffix

DMD

Business Name

CESAR BRAVO DMD

Original Issue Date

10/18/1991

Effective Date

10/18/1991

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005