CHARLES D CONLEY DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026176

License Status

INACTIVE

Business

First Name

CHARLES

Middle

Last Name

CONLEY

Suffix

DMD

Business Name

CHARLES D CONLEY DMD

Original Issue Date

06/27/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

JACKSONVILLE

State

Zip

32218

County

MADISON

Ever Disciplined

LastModifiedDate

07/24/2006