KENDALL M WACHTER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

KENDALL M

Last Name

WACHTER

Business Name

KENDALL M WACHTER

Original Issue Date

08/14/1986

Effective Date

06/18/2015

Expiration Date

09/30/2018

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018