TERRENCE PHILLIP KUNKEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

TERRENCE PHILLIP

Last Name

KUNKEL

Business Name

TERRENCE PHILLIP KUNKEL

Original Issue Date

01/19/1984

Effective Date

10/27/2021

Expiration Date

09/30/2024

City

PERU

State

Zip

61354

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025