LYNN EDSEL KELLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

LYNN EDSEL

Last Name

KELLER

Suffix

DDS

Business Name

LYNN EDSEL KELLER DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/13/2005