KEVIN R HADDLE DDS MD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

ACTIVE

Business

First Name

KEVIN

Middle

Last Name

HADDLE

Suffix

DDS MD

Business Name

KEVIN R HADDLE DDS MD

Original Issue Date

04/17/2003

Effective Date

07/25/2024

Expiration Date

09/30/2027

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2024