MEGHAN M KOENNECKE DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002088

License Status

EXPIRED

Business

Title

DMD

First Name

MEGHAN

Middle

Last Name

KOENNECKE

Business Name

MEGHAN M KOENNECKE DMD

Original Issue Date

08/16/2018

Effective Date

06/18/2018

Expiration Date

06/18/2021

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

11/28/2022