KENNETH DALE REPINE DDS - Dentist License in Illinois | # 019010226

KENNETH DALE REPINE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010226

License Status

NOT RENEWED

Business

N

First Name

KENNETH DALE

Last Name

REPINE

Suffix

DDS

Business Name

KENNETH DALE REPINE DDS

Original Issue Date

12/05/1952

Effective Date

12/05/1952

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005