JAYMIE ANN BRADEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

JAYMIE

Middle

ANN

Last Name

BRADEN

Suffix

DDS

Business Name

JAYMIE ANN BRADEN DDS

Original Issue Date

06/16/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009