KENNETH BRYAN SCROGGINS DMD - Dentist License in Illinois | # 019028899

KENNETH BRYAN SCROGGINS DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028899

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

KENNETH

Middle

BRYAN

Last Name

SCROGGINS

Business Name

KENNETH BRYAN SCROGGINS DMD

Original Issue Date

12/27/2011

Effective Date

12/27/2011

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012