DAN KIRK SPECKHART DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016083

License Status

INACTIVE

Business

First Name

DAN KIRK

Last Name

SPECKHART

Suffix

DMD

Business Name

DAN KIRK SPECKHART DMD

Original Issue Date

07/15/1977

Effective Date

06/17/2009

Expiration Date

09/30/2012

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

06/06/2012