KEVIN C BEYERSDORFER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000472

License Status

NOT RENEWED

Business

First Name

KEVIN C

Last Name

BEYERSDORFER

Suffix

DDS

Business Name

KEVIN C BEYERSDORFER DDS

Original Issue Date

09/24/1999

Effective Date

06/29/2012

Expiration Date

09/30/2015

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

02/08/2016