DANIEL E KETTEMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

ACTIVE

Business

First Name

DANIEL E

Last Name

KETTEMAN

Business Name

DANIEL E KETTEMAN

Original Issue Date

03/28/1989

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

QUINCY

State

Zip

62305

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024