SCOTT BRYAN KALNIZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

Title

DDS

First Name

SCOTT

Middle

BRYAN

Last Name

KALNIZ

Business Name

SCOTT BRYAN KALNIZ DDS

Original Issue Date

11/30/2017

Effective Date

11/30/2017

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/31/2018