KENNETH CHARLES HYTEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

KENNETH CHARLES

Last Name

HYTEN

Suffix

DDS

Business Name

KENNETH CHARLES HYTEN DDS

Original Issue Date

01/01/1998

Effective Date

08/06/2009

Expiration Date

09/30/2012

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012