KATHLEEN E LEVAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000356

License Status

NOT RENEWED

Business

First Name

KATHLEEN E

Last Name

LEVAN

Suffix

DDS

Business Name

KATHLEEN E LEVAN DDS

Original Issue Date

06/14/1989

Effective Date

06/14/1989

Expiration Date

06/30/1990

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005