MICHAEL BRADLEY CLAY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

BRADLEY

Last Name

CLAY

Suffix

DMD

Business Name

MICHAEL BRADLEY CLAY DMD

Original Issue Date

08/01/2005

Effective Date

10/18/2012

Expiration Date

09/30/2015

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/08/2016