CASEY P KENNEY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

ACTIVE

Business

First Name

CASEY P

Last Name

KENNEY

Suffix

DMD

Business Name

CASEY P KENNEY DMD

Original Issue Date

08/14/1986

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/23/2024