LARRY DEAN KOSTEN DDS - Dentist License in Illinois | # 021000699

LARRY DEAN KOSTEN DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000699

License Status

INACTIVE

Business

N

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

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/17/2005