KEVIN JOSEPH FAIST DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029102

License Status

NOT RENEWED

Business

Title

DMD

First Name

KEVIN

Middle

JOSEPH

Last Name

FAIST

Business Name

KEVIN JOSEPH FAIST DMD

Original Issue Date

07/02/2012

Effective Date

09/12/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022