LARRY DEAN KOSTEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

LARRY DEAN

Last Name

KOSTEN

Suffix

DDS

Business Name

LARRY DEAN KOSTEN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/17/2005