KATHLEEN E LEVAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

First Name

KATHLEEN E

Last Name

LEVAN

Suffix

DDS

Business Name

KATHLEEN E LEVAN DDS

Original Issue Date

10/03/1990

Effective Date

10/03/1990

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005