RUTH A KIVENS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000190

License Status

NOT RENEWED

Business

First Name

RUTH

Middle

Last Name

KIVENS

Business Name

RUTH A KIVENS

Original Issue Date

07/02/1987

Effective Date

07/02/1987

Expiration Date

06/25/1989

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005