KENNETH SCOTT KOLLMANN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001372

License Status

ACTIVE

Business

First Name

KENNETH SCOTT

Last Name

KOLLMANN

Business Name

KENNETH SCOTT KOLLMANN

Original Issue Date

09/29/1987

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

PEDIATRIC DENTIST

Ever Disciplined

LastModifiedDate

05/08/2024