KEITH LAWRENCE LITTLE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

Title

DDS

First Name

KEITH

Middle

LAWRENCE

Last Name

LITTLE

Business Name

KEITH LAWRENCE LITTLE DDS

Original Issue Date

06/03/2010

Effective Date

08/29/2012

Expiration Date

09/30/2015

City

GLEN ALLEN

State

Zip

23059

County

VIRGINIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016