KEITH MARTIN BRAM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

Title

DDS

First Name

KEITH

Middle

MARTIN

Last Name

BRAM

Business Name

KEITH MARTIN BRAM DDS

Original Issue Date

01/14/2010

Effective Date

08/17/2012

Expiration Date

09/30/2015

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016