MARTHA JO BRAID DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

ACTIVE

Business

First Name

MARTHA

Middle

Last Name

BRAID

Suffix

DMD

Business Name

MARTHA JO BRAID DMD

Original Issue Date

07/15/2008

Effective Date

05/27/2024

Expiration Date

09/30/2027

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2024