BRADLEY MARTIN COX DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

Title

DMD

First Name

BRADLEY

Middle

MARTIN

Last Name

COX

Business Name

BRADLEY MARTIN COX DMD

Original Issue Date

07/19/2016

Effective Date

07/19/2016

Expiration Date

09/30/2018

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018