JEFFREY BRADBURY CARTER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

JEFFREY BRADBURY

Last Name

CARTER

Suffix

DMD

Business Name

JEFFREY BRADBURY CARTER DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/1986

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005