CHARLES A MCBROOM DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

MCBROOM

Suffix

DMD

Business Name

CHARLES A MCBROOM DMD

Original Issue Date

02/01/2006

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/06/2024