KATHERINE LANE DUWALDT DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

ACTIVE

Business

Title

DMD

First Name

KATHERINE

Middle

LANE

Last Name

DUWALDT

Business Name

KATHERINE LANE DUWALDT DMD

Original Issue Date

06/05/2018

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

AURORA

State

Zip

60504

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024