ELLIOTT HODGES DUDLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

ELLIOTT HODGES

Last Name

DUDLEY

Suffix

DDS

Business Name

ELLIOTT HODGES DUDLEY DDS

Original Issue Date

08/20/1997

Effective Date

10/05/2012

Expiration Date

09/30/2015

City

BARTLETT

State

Zip

38133

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2023