KENNETH JAMES BOONE DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000154

License Status

EXPIRED

Business

First Name

KENNETH

Middle

JAMES

Last Name

BOONE

Suffix

DDS

Business Name

KENNETH JAMES BOONE DDS

Original Issue Date

07/19/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/07/2013