DAVID LEE KELSHEIMER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013854

License Status

NOT RENEWED

Business

First Name

DAVID LEE

Last Name

KELSHEIMER

Suffix

DDS

Business Name

DAVID LEE KELSHEIMER DDS

Original Issue Date

07/07/1970

Effective Date

07/10/2012

Expiration Date

09/30/2015

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

02/08/2016