KEVEN SCOTT HEROLD DDS - Dentist License in Illinois | # 019026247

KEVEN SCOTT HEROLD DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026247

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2007