BEVERLY LYNN KEIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002358

License Status

NOT RENEWED

Business

First Name

BEVERLY LYNN

Last Name

KEIM

Business Name

BEVERLY LYNN KEIM

Original Issue Date

07/03/1974

Effective Date

07/03/1974

Expiration Date

09/30/1984

City

EUGENE

State

Zip

97404

County

OREGON

Ever Disciplined

LastModifiedDate

10/12/2005