KENNETH MICHAEL EDWARDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034023

License Status

ACTIVE

Business

First Name

KENNETH

Middle

MICHAEL

Last Name

EDWARDS

Business Name

KENNETH MICHAEL EDWARDS

Original Issue Date

12/06/2022

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

08/26/2024