DAVID LEE KELSHEIMER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

DAVID LEE

Last Name

KELSHEIMER

Suffix

DDS

Business Name

DAVID LEE KELSHEIMER DDS

Original Issue Date

01/01/1998

Effective Date

07/10/2012

Expiration Date

09/30/2015

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016