DEAN VARIAN BRADLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

First Name

DEAN VARIAN

Last Name

BRADLEY

Suffix

DDS

Business Name

DEAN VARIAN BRADLEY DDS

Original Issue Date

11/04/1985

Effective Date

11/04/1985

Expiration Date

09/30/1996

City

BELVIDERE

State

Zip

61008

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005