KENNETH A GERSTEIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001002

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

GERSTEIN

Suffix

DDS

Business Name

KENNETH A GERSTEIN DDS

Original Issue Date

02/05/1979

Effective Date

08/26/2015

Expiration Date

09/30/2018

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/31/2018