ANNE L KENCOS-HAJEK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

ANNE L

Last Name

KENCOS-HAJEK

Suffix

DDS

Business Name

ANNE L KENCOS-HAJEK DDS

Original Issue Date

08/06/1990

Effective Date

08/06/1990

Expiration Date

09/30/1992

City

NORRIDGE

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005