KINGDON K BRADY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

KINGDON

Middle

Last Name

BRADY

Business Name

KINGDON K BRADY

Original Issue Date

03/22/1994

Effective Date

03/22/1994

Expiration Date

09/30/1996

City

DUQUOIN

State

Zip

62832

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005