KENNETH J ALLEN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

ACTIVE

Business

First Name

KENNETH

Middle

Last Name

ALLEN

Suffix

DMD

Business Name

KENNETH J ALLEN DMD

Original Issue Date

09/12/2011

Effective Date

07/12/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2024