KYLE ARTHUR LIVENGOOD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

Title

DMD

First Name

KYLE

Middle

ARTHUR

Last Name

LIVENGOOD

Business Name

KYLE ARTHUR LIVENGOOD DMD

Original Issue Date

06/06/2016

Effective Date

06/06/2016

Expiration Date

09/30/2018

City

OCEANSIDE

State

Zip

92058

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018