LEA DENISE DONIELLE VAN KLINE SHIVERS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035944

License Status

ACTIVE

Business

Title

DDS

First Name

LEA

Middle

DENISE DONIELLE

Last Name

VAN KLINE SHIVERS

Business Name

LEA DENISE DONIELLE VAN KLINE SHIVERS DDS

Original Issue Date

05/12/2025

Effective Date

05/12/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

02/17/2025