LAURENCE BRADLEY SHAROS 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

LAURENCE BRADLEY

Last Name

SHAROS

Suffix

DMD

Business Name

LAURENCE BRADLEY SHAROS DMD

Original Issue Date

03/18/1982

Effective Date

10/02/2015

Expiration Date

09/30/2018

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018