KENNETH J COLLEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

KENNETH J

Last Name

COLLEN

Business Name

KENNETH J COLLEN

Original Issue Date

01/01/1998

Effective Date

09/23/2015

Expiration Date

09/30/2018

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018