KENNETH OMER NORGAARD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

KENNETH OMER

Last Name

NORGAARD

Business Name

KENNETH OMER NORGAARD

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/13/2005