KEITH WILLIAM JAESCHKE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

KEITH WILLIAM

Last Name

JAESCHKE

Suffix

DDS

Business Name

KEITH WILLIAM JAESCHKE DDS

Original Issue Date

01/01/1998

Effective Date

06/15/2015

Expiration Date

09/30/2018

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018