KENNETH JAMES KOSTEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

KENNETH JAMES

Last Name

KOSTEN

Suffix

DDS

Business Name

KENNETH JAMES KOSTEN DDS

Original Issue Date

08/23/1984

Effective Date

06/14/2018

Expiration Date

01/31/2022

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022