DOUGLAS ALAN VON KAENEL DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001351

License Status

EXPIRED

Business

Title

DDS

First Name

DOUGLAS

Middle

ALAN

Last Name

VON KAENEL

Business Name

DOUGLAS ALAN VON KAENEL DDS

Original Issue Date

06/27/2002

Effective Date

06/27/2002

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

07/27/2006