KENDALL HENRY KOCH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

KENDALL HENRY

Last Name

KOCH

Suffix

DDS

Business Name

KENDALL HENRY KOCH DDS

Original Issue Date

01/01/1998

Effective Date

11/27/2021

Expiration Date

09/30/2024

City

FOREST PARK

State

Zip

60130

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025