SAMUEL D KENDRICK DMD 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

SAMUEL D

Last Name

KENDRICK

Suffix

DMD

Business Name

SAMUEL D KENDRICK DMD

Original Issue Date

01/01/1998

Effective Date

09/03/2009

Expiration Date

09/30/2012

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012