KEVIN LLOYD FATLAND DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000706

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

LLOYD

Last Name

FATLAND

Suffix

DMD

Business Name

KEVIN LLOYD FATLAND DMD

Original Issue Date

08/21/2007

Effective Date

08/08/2018

Expiration Date

01/31/2022

City

TINLEY PARK

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022