LARRY S KINOSHITA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

Last Name

KINOSHITA

Business Name

LARRY S KINOSHITA

Original Issue Date

11/16/1982

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009

Case Number

2006011099

Action

Refuse To Renew

Discipline Start Date

03/19/2007

Discipline End Date

11/20/2008