KEVEN SCOTT HEROLD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026247

License Status

NOT RENEWED

Business

First Name

KEVEN

Middle

SCOTT

Last Name

HEROLD

Suffix

DDS

Business Name

KEVEN SCOTT HEROLD DDS

Original Issue Date

08/25/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2007