KENNETH GLENN RAWSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000715

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

GLENN

Last Name

RAWSON

Suffix

DMD

Business Name

KENNETH GLENN RAWSON DMD

Original Issue Date

12/28/2007

Effective Date

06/20/2018

Expiration Date

01/31/2022

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

05/09/2022