BRADLEY A RANDOLPH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023135

License Status

NOT RENEWED

Business

First Name

BRADLEY A

Last Name

RANDOLPH

Suffix

DDS

Business Name

BRADLEY A RANDOLPH DDS

Original Issue Date

01/26/1993

Effective Date

01/26/1993

Expiration Date

09/30/1996

City

BURLINGTON

State

Zip

52601

County

IOWA

Ever Disciplined

LastModifiedDate

10/12/2005