JEFFREY BRADBURY CARTER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

JEFFREY BRADBURY

Last Name

CARTER

Suffix

DMD

Business Name

JEFFREY BRADBURY CARTER DMD

Original Issue Date

05/11/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009