MICHAEL BRADLEY CLAY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026792

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

BRADLEY

Last Name

CLAY

Suffix

DMD

Business Name

MICHAEL BRADLEY CLAY DMD

Original Issue Date

06/22/2005

Effective Date

08/28/2012

Expiration Date

09/30/2015

City

TUNNEL HILL

State

Zip

62972

County

JOHNSON

Ever Disciplined

LastModifiedDate

02/08/2016