KEVIN LLOYD FATLAND DMD - Dentist License in Illinois | # 137000706

KEVIN LLOYD FATLAND DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000706

License Status

NOT RENEWED

Business

N

First Name

KEVIN

Middle

LLOYD

Last Name

FATLAND

Suffix

DMD

Business Name

KEVIN LLOYD FATLAND DMD

Original Issue Date

08/21/2007

Effective Date

08/08/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022