KENNETH H BURRELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013504

License Status

NOT RENEWED

Business

First Name

KENNETH H

Last Name

BURRELL

Suffix

DDS

Business Name

KENNETH H BURRELL DDS

Original Issue Date

12/19/1968

Effective Date

10/17/2012

Expiration Date

09/30/2015

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/13/2015