BRADLEY KENT HARRIS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025730

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

KENT

Last Name

HARRIS

Suffix

DMD

Business Name

BRADLEY KENT HARRIS DMD

Original Issue Date

11/30/2001

Effective Date

11/30/2001

Expiration Date

09/30/2002

City

INDIANAPOLIS

State

Zip

46202

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005