KEITH ALAN BOXERMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015323

License Status

NOT RENEWED

Business

First Name

KEITH ALAN

Last Name

BOXERMAN

Suffix

DDS

Business Name

KEITH ALAN BOXERMAN DDS

Original Issue Date

09/09/1975

Effective Date

09/09/1975

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005