BRADFORD LEROY GOLDMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019261

License Status

NOT RENEWED

Business

First Name

BRADFORD LEROY

Last Name

GOLDMAN

Business Name

BRADFORD LEROY GOLDMAN

Original Issue Date

08/29/1984

Effective Date

08/29/1984

Expiration Date

09/30/1986

City

INDIANAPOLIS

State

Zip

46241

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005