KENNETH W COFFEY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

ACTIVE

Business

First Name

KENNETH W

Last Name

COFFEY

Business Name

KENNETH W COFFEY

Original Issue Date

09/04/1986

Effective Date

07/17/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2024