KENNETH W BRADSHAW DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024021

License Status

INACTIVE

Business

First Name

KENNETH W

Last Name

BRADSHAW

Suffix

DMD

Business Name

KENNETH W BRADSHAW DMD

Original Issue Date

10/30/1995

Effective Date

10/30/1995

Expiration Date

09/30/1996

City

BALTIMORE

State

Zip

21201

County

MARYLAND

Ever Disciplined

LastModifiedDate

10/12/2005