KENNETH W BUELTMANN DDS - Dentist License in Illinois | # 021000753

KENNETH W BUELTMANN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000753

License Status

NOT RENEWED

Business

N

First Name

KENNETH

Middle

W

Last Name

BUELTMANN

Suffix

DDS

Business Name

KENNETH W BUELTMANN DDS

Original Issue Date

12/13/1972

Effective Date

08/10/2012

Expiration Date

09/30/2015

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

02/08/2016