JENNIFER ANN KENNEDY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

First Name

JENNIFER ANN

Last Name

KENNEDY

Suffix

DDS

Business Name

JENNIFER ANN KENNEDY DDS

Original Issue Date

08/27/1997

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024