BRADLEY WILLIAM MITCHELL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

BRADLEY WILLIAM

Last Name

MITCHELL

Suffix

DMD

Business Name

BRADLEY WILLIAM MITCHELL DMD

Original Issue Date

01/01/1998

Effective Date

10/03/2018

Expiration Date

01/31/2022

City

WATERLOO

State

Zip

62298

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022