RODNEY LEE BAILEY 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

First Name

RODNEY

Middle

LEE

Last Name

BAILEY

Suffix

DMD

Business Name

RODNEY LEE BAILEY DMD

Original Issue Date

08/07/2008

Effective Date

07/16/2009

Expiration Date

09/30/2012

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/14/2012