KEVIN R HADDLE DDS MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

HADDLE

Suffix

DDS MD

Business Name

KEVIN R HADDLE DDS MD

Original Issue Date

08/21/2003

Effective Date

08/21/2003

Expiration Date

09/30/2006

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006