KENNETH W MISHER II DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

Title

DDS

First Name

KENNETH

Middle

Last Name

MISHER

Suffix

Business Name

KENNETH W MISHER II DDS

Original Issue Date

01/01/1998

Effective Date

10/08/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018