ANNAMARION KOLENCHERRY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

ACTIVE

Business

Title

DMD

First Name

ANNAMARION

Last Name

KOLENCHERRY

Business Name

ANNAMARION KOLENCHERRY DMD

Original Issue Date

06/28/2016

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60610

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024