KENNETH DELAINE MEISS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

ACTIVE

Business

First Name

KENNETH DELAINE

Last Name

MEISS

Suffix

DMD

Business Name

KENNETH DELAINE MEISS DMD

Original Issue Date

09/04/1997

Effective Date

06/14/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

06/14/2024