LARRY DEAN KOSTEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013624

License Status

INACTIVE

Business

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

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005