KENNETH A GERSTEIN 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

KENNETH

Middle

Last Name

GERSTEIN

Suffix

DDS

Business Name

KENNETH A GERSTEIN DDS

Original Issue Date

02/08/1993

Effective Date

08/26/2015

Expiration Date

09/30/2018

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018