KENNETH WILLIAM KAUFMAN 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

First Name

KENNETH WILLIAM

Last Name

KAUFMAN

Suffix

DDS

Business Name

KENNETH WILLIAM KAUFMAN DDS

Original Issue Date

01/01/1998

Effective Date

11/30/2018

Expiration Date

01/31/2022

City

MOUNT MORRIS

State

Zip

61054

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022