NATHAN A BRAVERMAN MD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

Title

MD DMD

First Name

NATHAN

Middle

Last Name

BRAVERMAN

Business Name

NATHAN A BRAVERMAN MD DMD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

09/30/2018

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018