KENT J DUYVEJONCK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000082

License Status

INACTIVE

Business

First Name

KENT J

Last Name

DUYVEJONCK

Suffix

DDS

Business Name

KENT J DUYVEJONCK DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/17/2005