JULIE E KERN 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

Title

DDS

First Name

JULIE

Middle

Last Name

KERN

Business Name

JULIE E KERN DDS

Original Issue Date

06/17/2010

Effective Date

06/17/2010

Expiration Date

09/30/2012

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012