KENECHI FLORENCE OKONKWO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

Title

DDS

First Name

KENECHI

Middle

FLORENCE

Last Name

OKONKWO

Business Name

KENECHI FLORENCE OKONKWO DDS

Original Issue Date

04/19/2010

Effective Date

04/19/2010

Expiration Date

09/30/2012

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012