KEITA SPAULDING DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034754

License Status

ACTIVE

Business

Title

DMD

First Name

KEITA

Last Name

SPAULDING

Business Name

KEITA SPAULDING DMD

Original Issue Date

01/07/2024

Effective Date

07/03/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2024