KENNETH GLENN RAWSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

GLENN

Last Name

RAWSON

Suffix

DMD

Business Name

KENNETH GLENN RAWSON DMD

Original Issue Date

06/27/2005

Effective Date

06/27/2005

Expiration Date

09/30/2006

City

CARMI

State

Zip

62821

County

WHITE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006