KEITH E BUGGS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021511

License Status

NOT RENEWED

Business

First Name

KEITH E

Last Name

BUGGS

Business Name

KEITH E BUGGS

Original Issue Date

02/23/1989

Effective Date

02/23/1989

Expiration Date

09/30/1994

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005