BRIAN W KENNY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

BRIAN W

Last Name

KENNY

Business Name

BRIAN W KENNY

Original Issue Date

10/17/1988

Effective Date

09/24/2012

Expiration Date

09/30/2015

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016