KEVIN LEE THEISS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030531

License Status

NOT RENEWED

Business

Title

DMD

First Name

KEVIN

Middle

LEE

Last Name

THEISS

Business Name

KEVIN LEE THEISS DMD

Original Issue Date

12/14/2015

Effective Date

09/17/2021

Expiration Date

09/30/2024

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

02/04/2025