KENNETH ROBERT BROCKER DDS - Dentist License in Illinois | # 019016104

KENNETH ROBERT BROCKER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016104

License Status

NOT RENEWED

Business

N

First Name

KENNETH ROBERT

Last Name

BROCKER

Suffix

DDS

Business Name

KENNETH ROBERT BROCKER DDS

Original Issue Date

07/28/1977

Effective Date

09/24/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022