KENNETH ALBERT HOLZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

First Name

KENNETH ALBERT

Last Name

HOLZ

Suffix

DDS

Business Name

KENNETH ALBERT HOLZ DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005