KAZMIN STAN DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002236

License Status

EXPIRED

Business

Title

DMD

First Name

KAZMIN

Last Name

STAN

Business Name

KAZMIN STAN DMD

Original Issue Date

06/29/2023

Effective Date

07/01/2023

Expiration Date

06/30/2024

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/08/2025