JOSHUA MATTHEW RENKEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

MATTHEW

Last Name

RENKEN

Business Name

JOSHUA MATTHEW RENKEN

Original Issue Date

06/13/2002

Effective Date

10/16/2021

Expiration Date

09/30/2024

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

02/04/2025