BRADLEY KENT HARRIS DMD - Dentist License in Indiana | # 019025730

BRADLEY KENT HARRIS DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025730

License Status

NOT RENEWED

Business

N

First Name

BRADLEY

Middle

KENT

Last Name

HARRIS

Suffix

DMD

Business Name

BRADLEY KENT HARRIS DMD

Original Issue Date

11/30/2001

Effective Date

11/30/2001

Expiration Date

09/30/2002

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005