CARL BRUCE CONRAD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

Title

DDS

First Name

CARL

Middle

BRUCE

Last Name

CONRAD

Business Name

CARL BRUCE CONRAD DDS

Original Issue Date

01/01/1998

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018