KYLE WILSON HEATON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

ACTIVE

Business

Title

DMD

First Name

KYLE

Middle

WILSON

Last Name

HEATON

Business Name

KYLE WILSON HEATON DMD

Original Issue Date

01/24/2013

Effective Date

06/11/2024

Expiration Date

09/30/2027

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/11/2024