KEVIN W WHITE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001869

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

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

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

01/07/2016