KENNETH MICHAEL SPAIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014241

License Status

NOT RENEWED

Business

First Name

KENNETH MICHAEL

Last Name

SPAIN

Suffix

DDS

Business Name

KENNETH MICHAEL SPAIN DDS

Original Issue Date

12/06/1971

Effective Date

12/06/1971

Expiration Date

09/30/1984

City

BOZEMAN

State

Zip

59715

County

MONTANA

Ever Disciplined

LastModifiedDate

10/12/2005