KEITH W NANCE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024305

License Status

NOT RENEWED

Business

First Name

KEITH W

Last Name

NANCE

Suffix

DDS

Business Name

KEITH W NANCE DDS

Original Issue Date

10/08/1996

Effective Date

10/08/1996

Expiration Date

09/30/2002

City

CODY

State

Zip

82414

County

WYOMING

Ever Disciplined

LastModifiedDate

10/17/2005