KENDYLL KEENAN STAHLIN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

ACTIVE

Business

Title

DMD

First Name

KENDYLL

Middle

KEENAN

Last Name

STAHLIN

Business Name

KENDYLL KEENAN STAHLIN DMD

Original Issue Date

07/21/2023

Effective Date

06/25/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/25/2024