KENNETH GLENN RAWSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

First Name

KENNETH

Middle

GLENN

Last Name

RAWSON

Suffix

DMD

Business Name

KENNETH GLENN RAWSON DMD

Original Issue Date

07/13/2007

Effective Date

05/16/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2024