KEVIN C BEYERSDORFER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000383

License Status

NOT RENEWED

Business

First Name

KEVIN C

Last Name

BEYERSDORFER

Suffix

DDS

Business Name

KEVIN C BEYERSDORFER DDS

Original Issue Date

07/12/1989

Effective Date

07/12/1989

Expiration Date

06/14/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018