KENNETH SCOTT KOLLMANN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

KENNETH SCOTT

Last Name

KOLLMANN

Business Name

KENNETH SCOTT KOLLMANN

Original Issue Date

04/18/1986

Effective Date

09/29/2021

Expiration Date

09/30/2024

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

02/04/2025