KENNETH MICHAEL SPAIN DDS - Dentist License in Montana | # 019014241

KENNETH MICHAEL SPAIN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014241

License Status

NOT RENEWED

Business

N

First Name

KENNETH MICHAEL

Last Name

SPAIN

Suffix

DDS

Business Name

KENNETH MICHAEL SPAIN DDS

Original Issue Date

12/06/1971

Effective Date

12/06/1971

Expiration Date

09/30/1984

State

MT

Ever Disciplined

N

LastModifiedDate

10/12/2005