KEITH L WILCOX DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027258

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

WILCOX

Suffix

DDS

Business Name

KEITH L WILCOX DDS

Original Issue Date

12/12/2006

Effective Date

09/05/2012

Expiration Date

09/30/2015

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

02/08/2016