KENNETH R KLOESS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

ACTIVE

Business

First Name

KENNETH R

Last Name

KLOESS

Business Name

KENNETH R KLOESS

Original Issue Date

09/04/1985

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

DUPO

State

Zip

62239

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024