KEITH C RADLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013195

License Status

NOT RENEWED

Business

First Name

KEITH C

Last Name

RADLEY

Suffix

DDS

Business Name

KEITH C RADLEY DDS

Original Issue Date

07/20/1967

Effective Date

07/20/1967

City

SPOKONE

State

Zip

99204

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/12/2005