KATHERINE JANE KLOCK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

ACTIVE

Business

First Name

KATHERINE JANE

Last Name

KLOCK

Business Name

KATHERINE JANE KLOCK

Original Issue Date

04/06/1983

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024