KEVIN W MITCHELL - Dentist License in Illinois | # 018000488

KEVIN W MITCHELL

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000488

License Status

NOT RENEWED

Business

N

First Name

KEVIN

Middle

W

Last Name

MITCHELL

Business Name

KEVIN W MITCHELL

Original Issue Date

07/26/1990

Effective Date

07/26/1990

Expiration Date

06/30/1991

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005