KENNETH ELLIS BRAY DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015071

License Status

INACTIVE

Business

First Name

KENNETH ELLIS

Last Name

BRAY

Suffix

DMD

Business Name

KENNETH ELLIS BRAY DMD

Original Issue Date

02/11/1975

Effective Date

02/11/1975

Expiration Date

09/30/1992

City

ALBUQUERQUE

State

Zip

87109

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/12/2005