CHARLES KASTEN BRINK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

CHARLES KASTEN

Last Name

BRINK

Suffix

DDS

Business Name

CHARLES KASTEN BRINK DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006