KENNETH W OBRIEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

ACTIVE

Business

First Name

KENNETH W

Last Name

OBRIEN

Business Name

KENNETH W OBRIEN

Original Issue Date

01/16/1987

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024