KEVIN R HADDLE DDS MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

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

06/12/2003

Effective Date

06/12/2003

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/08/2006