KENNETH ROBERT MARRIOTT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028362

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016