THEODORE EDMUND BRASKY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

ACTIVE

Business

First Name

THEODORE EDMUND

Last Name

BRASKY

Suffix

DDS

Business Name

THEODORE EDMUND BRASKY DDS

Original Issue Date

01/01/1998

Effective Date

07/17/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2024