WILLIAM G KOENTZ 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

WILLIAM G

Last Name

KOENTZ

Business Name

WILLIAM G KOENTZ

Original Issue Date

10/10/1983

Effective Date

11/11/2021

Expiration Date

09/30/2024

City

NEW BADEN

State

Zip

62265

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025