DOUGLAS ALAN VON KAENEL DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

CANCELLED

Business

Title

DDS

First Name

DOUGLAS

Middle

ALAN

Last Name

VON KAENEL

Business Name

DOUGLAS ALAN VON KAENEL DDS

Original Issue Date

09/19/2002

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/16/2006