KENNETH JOSEPH HILLMER 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 JOSEPH

Last Name

HILLMER

Business Name

KENNETH JOSEPH HILLMER

Original Issue Date

11/22/1995

Effective Date

11/22/1995

Expiration Date

09/30/1996

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/17/2005