KAITLIN MARIE CARLSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003456

License Status

ACTIVE

Business

Title

DMD

First Name

KAITLIN

Middle

MARIE

Last Name

CARLSON

Business Name

KAITLIN MARIE CARLSON DMD

Original Issue Date

07/17/2025

Effective Date

07/17/2025

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

LastModifiedDate

07/10/2025