BRADLEY CARLYLE WRIGHT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

BRADLEY CARLYLE

Last Name

WRIGHT

Business Name

BRADLEY CARLYLE WRIGHT

Original Issue Date

10/16/2008

Effective Date

09/25/2009

Expiration Date

09/30/2012

City

FRANKFORT

State

Zip

60423

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012