KEITH I WILKEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023592

License Status

NOT RENEWED

Business

First Name

KEITH I

Last Name

WILKEN

Suffix

DMD

Business Name

KEITH I WILKEN DMD

Original Issue Date

07/05/1994

Effective Date

07/05/1994

Expiration Date

09/30/1996

City

CHATSWORTH

State

Zip

60921

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/12/2005