KENNETH D MCCALL JR DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

INOPERATIVE

Business

First Name

KENNETH D

Last Name

MCCALL JR

Suffix

DDS

Business Name

KENNETH D MCCALL JR DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005