TED B KOESTER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

First Name

TED B

Last Name

KOESTER

Suffix

DMD

Business Name

TED B KOESTER DMD

Original Issue Date

07/29/1993

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2024