SAMANTHA KITCHEN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

ACTIVE

Business

Title

DMD

First Name

SAMANTHA

Last Name

KITCHEN

Business Name

SAMANTHA KITCHEN DMD

Original Issue Date

06/17/2025

Effective Date

06/17/2025

Expiration Date

09/30/2027

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2025