LARRY DEAN KOSTEN DDS - Dentist License in Illinois | # 019013624

LARRY DEAN KOSTEN DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013624

License Status

INACTIVE

Business

N

First Name

LARRY DEAN

Last Name

KOSTEN

Suffix

DDS

Business Name

LARRY DEAN KOSTEN DDS

Original Issue Date

07/14/1969

Effective Date

07/14/1969

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005