NADINE BRODALA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

ACTIVE

Business

First Name

NADINE

Last Name

BRODALA

Suffix

DDS

Business Name

NADINE BRODALA DDS

Original Issue Date

08/24/2011

Effective Date

08/16/2024

Expiration Date

09/30/2027

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/16/2024