BRADLEY ROBERT ROSS DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026275

License Status

INACTIVE

Business

First Name

BRADLEY

Middle

ROBERT

Last Name

ROSS

Suffix

DMD

Business Name

BRADLEY ROBERT ROSS DMD

Original Issue Date

09/30/2003

Effective Date

08/06/2009

Expiration Date

09/30/2012

City

NEWPORT

State

Zip

02841

Ever Disciplined

LastModifiedDate

08/06/2009