KENNETH BRADFORD RUNDLE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

First Name

KENNETH

Middle

BRADFORD

Last Name

RUNDLE

Business Name

KENNETH BRADFORD RUNDLE

Original Issue Date

01/23/2018

Effective Date

12/19/2025

Expiration Date

09/30/2027

City

GRANGER

State

Zip

46530

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/19/2025