DENISE M KISSELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

DENISE M

Last Name

KISSELL

Suffix

DDS

Business Name

DENISE M KISSELL DDS

Original Issue Date

10/31/1996

Effective Date

08/10/2015

Expiration Date

09/30/2018

City

SAINT CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018