KEITH LESLIE RAY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

ACTIVE

Business

Title

DMD

First Name

KEITH

Middle

LESLIE

Last Name

RAY

Business Name

KEITH LESLIE RAY DMD

Original Issue Date

02/14/2025

Effective Date

02/14/2025

Expiration Date

09/30/2027

City

LOUISVILLE

State

Zip

40291

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2025