DOUGLAS MICHAEL HARTLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028995

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

MICHAEL

Last Name

HARTLEY

Suffix

DDS

Business Name

DOUGLAS MICHAEL HARTLEY DDS

Original Issue Date

05/29/2012

Effective Date

12/22/2021

Expiration Date

09/30/2024

City

INDIANAPOLIS

State

Zip

46220

County

INDIANA

Ever Disciplined

LastModifiedDate

02/04/2025