KEVIN C BEYERSDORFER DDS - Dentist License in Illinois | # 137000472

KEVIN C BEYERSDORFER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000472

License Status

NOT RENEWED

Business

N

First Name

KEVIN C

Last Name

BEYERSDORFER

Suffix

DDS

Business Name

KEVIN C BEYERSDORFER DDS

Original Issue Date

09/24/1999

Effective Date

06/29/2012

Expiration Date

09/30/2015

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

02/08/2016