JOHN J KLOCKENKEMPER DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011500

License Status

INACTIVE

Business

First Name

JOHN J

Last Name

KLOCKENKEMPER

Suffix

DDS

Business Name

JOHN J KLOCKENKEMPER DDS

Original Issue Date

08/05/1959

Effective Date

08/05/1959

Expiration Date

09/30/2000

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005