ALLISON M KISNER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

ALLISON

Middle

Last Name

KISNER

Suffix

DDS

Business Name

ALLISON M KISNER DDS

Original Issue Date

10/11/2011

Effective Date

07/26/2018

Expiration Date

01/31/2022

City

KEWANEE

State

Zip

61443

County

HENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022