JAMES EDGAR KIRK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

EDGAR

Last Name

KIRK

Suffix

DDS

Business Name

JAMES EDGAR KIRK DDS

Original Issue Date

07/02/1986

Effective Date

09/10/2018

Expiration Date

01/31/2022

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022