LORI A KILBY 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

LORI A

Last Name

KILBY

Business Name

LORI A KILBY

Original Issue Date

08/05/1985

Effective Date

08/05/1985

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005