KEVIN W WHITE DMD - Dentist License in Illinois | # 018001869

KEVIN W WHITE DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001869

License Status

NOT RENEWED

Business

N

First Name

KEVIN

Middle

W

Last Name

WHITE

Suffix

DMD

Business Name

KEVIN W WHITE DMD

Original Issue Date

05/22/2013

Effective Date

07/01/2013

Expiration Date

06/30/2015

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

01/07/2016