JOSEPH JEROME KEENE JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000558

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

JEROME

Last Name

KEENE

Suffix

JR DDS

Business Name

JOSEPH JEROME KEENE JR DDS

Original Issue Date

12/07/1967

Effective Date

08/27/2009

Expiration Date

09/30/2012

City

GODFREY

State

Zip

62035

County

MADISON

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

11/14/2012