SHARA KENNEDY CORVERA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

ACTIVE

Business

Title

DDS

First Name

SHARA

Last Name

KENNEDY CORVERA

Business Name

SHARA KENNEDY CORVERA DDS

Original Issue Date

07/08/2024

Effective Date

07/08/2024

Expiration Date

09/30/2027

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2024