KATHY ANN MEYER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

ANN

Last Name

MEYER

Business Name

KATHY ANN MEYER

Original Issue Date

06/24/2002

Effective Date

09/13/2018

Expiration Date

01/31/2022

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022