KENNETH ROBERT ZALE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

KENNETH ROBERT

Last Name

ZALE

Suffix

DDS

Business Name

KENNETH ROBERT ZALE DDS

Original Issue Date

09/23/1988

Effective Date

12/09/2021

Expiration Date

09/30/2024

City

LOCKPORT

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025