COURTNEY BETH KANIVE Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000096

License Status

EXPIRED

Business

First Name

COURTNEY

Middle

BETH

Last Name

KANIVE

Business Name

COURTNEY BETH KANIVE

Original Issue Date

06/07/2004

Effective Date

06/07/2004

Expiration Date

06/30/2006

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2006