KELLY C CRENNA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

Title

DDS

First Name

KELLY

Middle

Last Name

CRENNA

Business Name

KELLY C CRENNA DDS

Original Issue Date

06/28/2016

Effective Date

06/28/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018