ROBERT E KENNY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

ROBERT E

Last Name

KENNY

Suffix

DDS

Business Name

ROBERT E KENNY DDS

Original Issue Date

03/25/1996

Effective Date

03/25/1996

Expiration Date

09/30/1998

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/17/2005