TAYLOR ALAN KENNEDY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

ALAN

Last Name

KENNEDY

Business Name

TAYLOR ALAN KENNEDY

Original Issue Date

10/23/2019

Effective Date

10/23/2019

Expiration Date

01/31/2022

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022