KAHINA ETOSSI KING Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

KAHINA

Middle

ETOSSI

Last Name

KING

Business Name

KAHINA ETOSSI KING

Original Issue Date

09/06/2007

Effective Date

08/14/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022