MICHAEL BRADLEY CLAY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

BRADLEY

Last Name

CLAY

Suffix

DMD

Business Name

MICHAEL BRADLEY CLAY DMD

Original Issue Date

03/21/2008

Effective Date

10/10/2012

Expiration Date

09/30/2015

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

02/08/2016