KENNETH EUGENE BEACH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009550

License Status

NOT RENEWED

Business

First Name

KENNETH EUGENE

Last Name

BEACH DDS

Business Name

KENNETH EUGENE BEACH DDS

Original Issue Date

08/04/1949

Effective Date

07/12/2012

Expiration Date

09/30/2015

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

02/08/2016