KEVIN D CAPPELEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024521

License Status

INACTIVE

Business

First Name

KEVIN D

Last Name

CAPPELEN

Suffix

DDS

Business Name

KEVIN D CAPPELEN DDS

Original Issue Date

08/12/1997

Effective Date

08/12/1997

Expiration Date

09/30/2000

City

KENOSHA

State

Zip

53141

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005