CARLE EDWARD KIBBITT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

CARLE EDWARD

Last Name

KIBBITT

Suffix

DDS

Business Name

CARLE EDWARD KIBBITT DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1999010070

Action

Suspension

Discipline Start Date

12/17/2002

Discipline End Date

12/16/2003

Discipline Reason

Prescribed controlled substances for other than dental therapeutic purposes and prescribed non-controlled substances outside the scope of dentistry.