R KENT OWEN 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

R KENT

Last Name

OWEN

Suffix

DDS

Business Name

R KENT OWEN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

PEORIA

State

Zip

61606

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005