KENNETH LEEZER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

Title

DDS

First Name

KENNETH

Last Name

LEEZER

Business Name

KENNETH LEEZER DDS

Original Issue Date

08/25/2020

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60614

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025