KAITLIN ANN BOWMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

Title

DDS

First Name

KAITLIN

Middle

ANN

Last Name

BOWMAN

Business Name

KAITLIN ANN BOWMAN DDS

Original Issue Date

07/12/2016

Effective Date

07/12/2016

Expiration Date

09/30/2018

City

BELVIDERE

State

Zip

61008

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018