KENNETH JOHN MULDER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015860

License Status

NOT RENEWED

Business

First Name

KENNETH JOHN

Last Name

MULDER

Suffix

DDS

Business Name

KENNETH JOHN MULDER DDS

Original Issue Date

05/23/1977

Effective Date

05/23/1977

Expiration Date

04/01/1982

City

OAK PARK

State

Zip

60304

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/12/2005