KENNETH ALLEN KREBS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

ALLEN

Last Name

KREBS

Business Name

KENNETH ALLEN KREBS

Original Issue Date

06/16/1976

Effective Date

06/16/1976

Expiration Date

09/30/1996

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005