KENNETH BRYAN SCROGGINS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028899

License Status

NOT RENEWED

Business

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

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

11/14/2012