KEITH C CUMMINS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

ACTIVE

Business

First Name

KEITH C

Last Name

CUMMINS

Suffix

DMD

Business Name

KEITH C CUMMINS DMD

Original Issue Date

07/20/1993

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/17/2024