KENNETH MARK STOFFEL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

ACTIVE

Business

First Name

KENNETH MARK

Last Name

STOFFEL

Business Name

KENNETH MARK STOFFEL

Original Issue Date

05/22/2006

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

CICERO

State

Zip

60804

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2024