JOSEPH JEROME KEENE JR DDS - Dentist License in Illinois | # 021000558

JOSEPH JEROME KEENE JR DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000558

License Status

NOT RENEWED

Business

N

First Name

JOSEPH

Middle

JEROME

Last Name

KEENE

Suffix

JR DDS

Business Name

JOSEPH JEROME KEENE JR DDS

Original Issue Date

12/07/1967

Effective Date

08/27/2009

Expiration Date

09/30/2012

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

11/14/2012