JOSEPH JEROME KEENE JR DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012734

License Status

INACTIVE

Business

First Name

JOSEPH

Middle

JEROME

Last Name

KEENE

Suffix

JR DDS

Business Name

JOSEPH JEROME KEENE JR DDS

Original Issue Date

07/15/1965

Effective Date

08/27/2009

Expiration Date

09/30/2012

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

06/06/2012