KEITH D STEWART - Dentist License in Illinois | # 019020295

KEITH D STEWART

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020295

License Status

NOT RENEWED

Business

N

First Name

KEITH

Middle

D

Last Name

STEWART

Business Name

KEITH D STEWART

Original Issue Date

08/27/1986

Effective Date

06/15/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022