CHARLES KASTEN BRINK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013314

License Status

NOT RENEWED

Business

First Name

CHARLES KASTEN

Last Name

BRINK

Suffix

DDS

Business Name

CHARLES KASTEN BRINK DDS

Original Issue Date

07/16/1968

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

11/08/2006