JOSEPH JEROME KEENE JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

JEROME

Last Name

KEENE

Suffix

JR DDS

Business Name

JOSEPH JEROME KEENE JR DDS

Original Issue Date

01/01/1998

Effective Date

08/27/2009

Expiration Date

09/30/2012

City

GODFREY

State

Zip

62035

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012