CANDACE KOUNTZ DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

Title

DMD

First Name

CANDACE

Last Name

KOUNTZ

Business Name

CANDACE KOUNTZ DMD

Original Issue Date

06/03/2020

Effective Date

12/02/2021

Expiration Date

09/30/2024

City

FOREST PARK

State

Zip

60130

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025