SID W BRANTLEY DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021624

License Status

INACTIVE

Business

First Name

SID W

Last Name

BRANTLEY

Suffix

DMD

Business Name

SID W BRANTLEY DMD

Original Issue Date

08/01/1989

Effective Date

08/01/1989

Expiration Date

09/30/1992

City

PADUCAH

State

Zip

42001

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/12/2005