KEITH WILLIAM NEMANICH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

ACTIVE

Business

First Name

KEITH WILLIAM

Last Name

NEMANICH

Business Name

KEITH WILLIAM NEMANICH

Original Issue Date

07/29/1982

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

HOFFMAN ESTATES

State

Zip

60195

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024