KIMBERLY ANN CALDWELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025524

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

CALDWELL

Business Name

KIMBERLY ANN CALDWELL

Original Issue Date

04/03/2001

Effective Date

08/11/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012