KENNETH R PICKETT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

KENNETH R

Last Name

PICKETT

Suffix

DDS

Business Name

KENNETH R PICKETT DDS

Original Issue Date

09/30/1981

Effective Date

09/30/1981

Expiration Date

09/30/2000

City

LOCKPORT

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005