KENNETH ALLEN KREBS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000228

License Status

INACTIVE

Business

First Name

KENNETH

Middle

ALLEN

Last Name

KREBS

Business Name

KENNETH ALLEN KREBS

Original Issue Date

02/23/1990

Effective Date

02/23/1990

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/13/2005