KIMBERLEY MARIE LATOUR DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001482

License Status

EXPIRED

Business

Title

DDS

First Name

KIMBERLEY

Middle

MARIE

Last Name

LATOUR

Business Name

KIMBERLEY MARIE LATOUR DDS

Original Issue Date

08/27/2004

Effective Date

08/27/2004

Expiration Date

06/30/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005