KEVIN B DELATOUR DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

ACTIVE

Business

First Name

KEVIN B

Last Name

DELATOUR

Suffix

DMD

Business Name

KEVIN B DELATOUR DMD

Original Issue Date

01/17/1992

Effective Date

08/01/2024

Expiration Date

09/30/2027

City

BENTON

State

Zip

62812

County

FRANKLIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2024