MARK T KIENLE - Dentist License in Illinois | # 019020696

MARK T KIENLE

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020696

License Status

NOT RENEWED

Business

N

First Name

MARK T

Last Name

KIENLE

Business Name

MARK T KIENLE

Original Issue Date

07/29/1987

Effective Date

07/09/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022