EUGENE KENNEDY AUSBROOK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

EUGENE KENNEDY

Last Name

AUSBROOK

Suffix

DDS

Business Name

EUGENE KENNEDY AUSBROOK DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1986

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005