KENNETH EUGENE BEACH DDS - Dentist License in Illinois | # 019009550

KENNETH EUGENE BEACH DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009550

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016