JOHN ALAN KAZE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

ALAN

Last Name

KAZE

Suffix

DMD

Business Name

JOHN ALAN KAZE DMD

Original Issue Date

07/14/2000

Effective Date

07/14/2000

Expiration Date

09/30/2004

City

LITCHFIELD

State

Zip

62056

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005