KENNETH SCOTT KOLLMANN - Dentist License in Illinois | # 137000555

KENNETH SCOTT KOLLMANN

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000555

License Status

INACTIVE

Business

N

First Name

KENNETH SCOTT

Last Name

KOLLMANN

Business Name

KENNETH SCOTT KOLLMANN

Original Issue Date

04/26/2002

Effective Date

07/21/2015

Expiration Date

09/30/2018

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

06/07/2018