KEN ARRIETA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

Title

DDS

First Name

KEN

Last Name

ARRIETA

Business Name

KEN ARRIETA DDS

Original Issue Date

04/19/1993

Effective Date

12/10/2012

Expiration Date

09/30/2015

City

BOLINGBROOK

State

Zip

60440

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016