LAURENCE BRADLEY SHAROS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

NOT RENEWED

Business

First Name

LAURENCE BRADLEY

Last Name

SHAROS

Suffix

DMD

Business Name

LAURENCE BRADLEY SHAROS DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005