KEVIN LLOYD FATLAND DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025070

License Status

ACTIVE

Business

First Name

KEVIN

Middle

LLOYD

Last Name

FATLAND

Suffix

DMD

Business Name

KEVIN LLOYD FATLAND DMD

Original Issue Date

08/06/1999

Effective Date

07/25/2024

Expiration Date

09/30/2027

City

TINLEY PARK

State

Zip

60487

Ever Disciplined

LastModifiedDate

07/25/2024