KURTIS CRANDELL BRAY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028422

License Status

NOT RENEWED

Business

First Name

KURTIS

Middle

CRANDELL

Last Name

BRAY

Suffix

DMD

Business Name

KURTIS CRANDELL BRAY DMD

Original Issue Date

07/13/2010

Effective Date

09/20/2012

Expiration Date

09/30/2015

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/08/2016