JEFFREY ALAN KUNSEMILLER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

ALAN

Last Name

KUNSEMILLER

Suffix

DMD

Business Name

JEFFREY ALAN KUNSEMILLER DMD

Original Issue Date

02/20/2001

Effective Date

02/20/2001

Expiration Date

09/30/2002

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005