KEITH ALLEN WEST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026160

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

ALLEN

Last Name

WEST

Suffix

DDS

Business Name

KEITH ALLEN WEST DDS

Original Issue Date

06/20/2003

Effective Date

06/20/2003

Expiration Date

09/30/2004

City

WYANDOTTE

State

Zip

48192

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005

Case Number

2003008513

Action

Suspension

Discipline Start Date

11/22/2004

Discipline Reason

CONVICTED FOR MAIL FRAUD IN THE U.S. DISTRICT COURT FOR THE EASTERN DISTRICT OF MICHIGAN AND DISCIPLINED IN MICHIGAN.