BRADLEY KEITH HARGRAVE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026811

License Status

ACTIVE

Business

First Name

BRADLEY

Middle

KEITH

Last Name

HARGRAVE

Suffix

DMD

Business Name

BRADLEY KEITH HARGRAVE DMD

Original Issue Date

07/06/2005

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

05/01/2024