KEITH EDWARD MCDONALD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024418

License Status

NOT RENEWED

Business

First Name

KEITH EDWARD

Last Name

MCDONALD

Suffix

DMD

Business Name

KEITH EDWARD MCDONALD DMD

Original Issue Date

04/08/1997

Effective Date

04/08/1997

Expiration Date

09/30/2004

City

FPO

State

Zip

96379

Ever Disciplined

LastModifiedDate

10/17/2005