PERRY KENT TUNEBERG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

ACTIVE

Business

First Name

PERRY KENT

Last Name

TUNEBERG

Business Name

PERRY KENT TUNEBERG

Original Issue Date

03/02/1983

Effective Date

07/31/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/31/2024