KENNETH A GERSTEIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

GERSTEIN

Suffix

DDS

Business Name

KENNETH A GERSTEIN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

DUNLAP

State

Zip

61525

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005