DENNIS KAMMERER STOLLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

DENNIS KAMMERER

Last Name

STOLLER

Suffix

DDS

Business Name

DENNIS KAMMERER STOLLER DDS

Original Issue Date

01/01/1998

Effective Date

09/10/2015

Expiration Date

09/30/2018

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018