NATALIE ANN CORLEY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

ANN

Last Name

CORLEY

Suffix

DMD

Business Name

NATALIE ANN CORLEY DMD

Original Issue Date

08/07/2007

Effective Date

12/23/2015

Expiration Date

09/30/2018

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018