KYLE PHILIP HANEY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

Title

DMD

First Name

KYLE

Middle

PHILIP

Last Name

HANEY

Business Name

KYLE PHILIP HANEY DMD

Original Issue Date

07/10/2013

Effective Date

07/10/2013

Expiration Date

09/30/2015

City

DEKALB

State

Zip

60115

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/08/2016