KYLE R CHILDERS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

ACTIVE

Business

Title

DMD

First Name

KYLE

Middle

Last Name

CHILDERS

Business Name

KYLE R CHILDERS DMD

Original Issue Date

07/12/1990

Effective Date

09/13/2024

Expiration Date

09/30/2027

City

BENTON

State

Zip

62812

County

FRANKLIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/13/2024