KIM BLOUNT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011641

License Status

NOT RENEWED

Business

First Name

KIM

Last Name

BLOUNT

Business Name

KIM BLOUNT

Original Issue Date

05/08/2006

Effective Date

12/10/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025

Case Number

2018002776

Action

Suspension

Discipline Start Date

08/03/2018

Discipline End Date

09/12/2018

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 09/13/2018.