KENNETH W LEGAULT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

KENNETH W

Last Name

LEGAULT

Suffix

DDS

Business Name

KENNETH W LEGAULT DDS

Original Issue Date

04/26/1989

Effective Date

04/26/1989

Expiration Date

09/30/1996

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005