License holder summary

KENNETH BASTHOLM is a Dental Examiners - Dentist licensed to practice in Maine. The address on file for KENNETH BASTHOLM is MIAMI, FL 33173. This licensed professional license is not current. The license was granted 01/01/1961 and expired on 12/31/1960.

Maine

Office of Professional and Occupational Regulation

KENNETH BASTHOLM
Dental Examiners - Dentist
License number
DEN2022
Date granted
01/01/1961
Date expires
12/31/1960
Class
Dental Examiners - Dentist
Status
Failed to Renew
Address
MIAMI, FL 33173
mainelicensing.org
ID 21040935
LAST UPDATED 2024-02-29 00:35:20 UTC

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