KENNETH E ANTONOFF DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

First Name

KENNETH

Middle

Last Name

ANTONOFF

Suffix

DDS

Business Name

KENNETH E ANTONOFF DDS

Original Issue Date

01/24/2003

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

GLENDALE

State

Zip

53209

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2024

Case Number

2008002786

Action

Fine

Discipline Start Date

03/18/2011

Discipline Reason

for allowing staff members to sign his name on controlled substance prescriptions issued to patients of his practice.