KEITH WINFIELD DICKEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

KEITH WINFIELD

Last Name

DICKEY

Suffix

DDS

Business Name

KEITH WINFIELD DICKEY DDS

Original Issue Date

01/01/1998

Effective Date

10/13/2021

Expiration Date

09/30/2024

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025