KEVIN JAMES ROBERTSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001847

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

JAMES

Last Name

ROBERTSON

Business Name

KEVIN JAMES ROBERTSON

Original Issue Date

07/02/2012

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

03/09/2017