KENNETH ROBERT MARRIOTT DDS - Dentist License in Illinois | # 019028362

KENNETH ROBERT MARRIOTT DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028362

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

KENNETH

Middle

ROBERT

Last Name

MARRIOTT

Business Name

KENNETH ROBERT MARRIOTT DDS

Original Issue Date

06/16/2010

Effective Date

08/09/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016