CHARLES W KIRKLAND JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

Title

DDS

First Name

CHARLES

Middle

Last Name

KIRKLAND

Suffix

Business Name

CHARLES W KIRKLAND JR DDS

Original Issue Date

01/01/1998

Effective Date

08/24/2009

Expiration Date

09/30/2012

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012