KEVIN PAUL DEVINE 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

KEVIN PAUL

Last Name

DEVINE

Business Name

KEVIN PAUL DEVINE

Original Issue Date

07/15/1983

Effective Date

06/22/2015

Expiration Date

09/30/2018

City

COLUMBIA

State

Zip

62236

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018