KEVIN MICHAEL BUNIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

MICHAEL

Last Name

BUNIN

Business Name

KEVIN MICHAEL BUNIN

Original Issue Date

09/22/2010

Effective Date

09/22/2010

Expiration Date

09/30/2012

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012