KENNETH ROBERT BROCKER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016104

License Status

NOT RENEWED

Business

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

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022