BRADLEY JOHN SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024984

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

JOHN

Last Name

SMITH

Suffix

DDS

Business Name

BRADLEY JOHN SMITH DDS

Original Issue Date

04/22/1999

Effective Date

09/11/2009

Expiration Date

09/30/2012

City

FPO

State

Zip

96534

Ever Disciplined

LastModifiedDate

11/14/2012