DOUGLAS MICHAEL HARTLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

MICHAEL

Last Name

HARTLEY

Suffix

DDS

Business Name

DOUGLAS MICHAEL HARTLEY DDS

Original Issue Date

01/21/2014

Effective Date

10/29/2018

Expiration Date

01/31/2022

City

MARSHALL

State

Zip

62441

County

CLARK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022