KENNETH M PITTNER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

Title

DDS

First Name

KENNETH

Middle

Last Name

PITTNER

Business Name

KENNETH M PITTNER DDS

Original Issue Date

01/01/1998

Effective Date

09/24/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016