KEITH DOUGLASS RICE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002900

License Status

ACTIVE

Business

First Name

KEITH

Middle

DOUGLASS

Last Name

RICE

Business Name

KEITH DOUGLASS RICE

Original Issue Date

09/17/2018

Effective Date

07/31/2024

Expiration Date

09/30/2027

City

GLEN CARBON

State

Zip

62034

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

LastModifiedDate

07/31/2024