LARRY DEAN KOSTEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000699

License Status

INACTIVE

Business

First Name

LARRY DEAN

Last Name

KOSTEN

Suffix

DDS

Business Name

LARRY DEAN KOSTEN DDS

Original Issue Date

12/06/1971

Effective Date

12/06/1971

Expiration Date

09/30/2004

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/17/2005