KEVIN R FRUIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

KEVIN R

Last Name

FRUIN

Business Name

KEVIN R FRUIN

Original Issue Date

07/16/1984

Effective Date

07/16/1984

Expiration Date

09/30/1986

City

OAK BROOK

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005