KENNETH R PICKETT DDS 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 R

Last Name

PICKETT

Suffix

DDS

Business Name

KENNETH R PICKETT DDS

Original Issue Date

06/17/1996

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/06/2024