KEITH MARTIN BRAM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

ACTIVE

Business

Title

DDS

First Name

KEITH

Middle

MARTIN

Last Name

BRAM

Business Name

KEITH MARTIN BRAM DDS

Original Issue Date

09/29/2015

Effective Date

07/23/2024

Expiration Date

09/30/2027

City

LISLE

State

Zip

60532

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2024