DAVID BRADFORD RODENBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018875

License Status

NOT RENEWED

Business

First Name

DAVID BRADFORD

Last Name

RODENBERG

Suffix

DDS

Business Name

DAVID BRADFORD RODENBERG DDS

Original Issue Date

10/06/1983

Effective Date

09/30/2009

Expiration Date

09/30/2012

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

07/14/2014

Case Number

2012005308

Action

Fine

Discipline Start Date

07/28/2014

Discipline Reason

for practicing on a suspended license.