ROBERT FREDERICK BRADLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

ROBERT FREDERICK

Last Name

BRADLEY

Suffix

DDS

Business Name

ROBERT FREDERICK BRADLEY DDS

Original Issue Date

01/01/1998

Effective Date

12/09/2015

Expiration Date

09/30/2018

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018