KERIN L BURDETTE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

KERIN

Middle

Last Name

BURDETTE

Suffix

DDS

Business Name

KERIN L BURDETTE DDS

Original Issue Date

03/18/2004

Effective Date

03/18/2004

Expiration Date

09/30/2004

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005