KEVIN EUGENE VAN KANEGAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

KEVIN EUGENE

Last Name

VAN KANEGAN

Business Name

KEVIN EUGENE VAN KANEGAN

Original Issue Date

10/27/1993

Effective Date

11/07/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022