KENNETH NEAL BROSH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

ACTIVE

Business

First Name

KENNETH

Middle

NEAL

Last Name

BROSH

Business Name

KENNETH NEAL BROSH

Original Issue Date

01/17/1985

Effective Date

08/30/2024

Expiration Date

09/30/2027

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/30/2024