KYLE JOSEPH FAIRBANKS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031179

License Status

ACTIVE

Business

First Name

KYLE

Middle

JOSEPH

Last Name

FAIRBANKS

Business Name

KYLE JOSEPH FAIRBANKS

Original Issue Date

06/05/2017

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2024