KENNETH LI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

Title

DDS

First Name

KENNETH

Last Name

Business Name

KENNETH LI DDS

Original Issue Date

07/21/2021

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

LA SALLE

State

Zip

61301

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024