KATHERINE AMARETTE BRACY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

AMARETTE

Last Name

BRACY

Business Name

KATHERINE AMARETTE BRACY

Original Issue Date

01/30/2007

Effective Date

01/30/2007

Expiration Date

09/30/2009

City

AURORA

State

Zip

60506

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009