KEITH M SOMMERS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000995

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

SOMMERS

Suffix

DDS

Business Name

KEITH M SOMMERS DDS

Original Issue Date

10/21/1996

Effective Date

10/21/1996

Expiration Date

05/01/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/12/2005