KYLE ARTHUR LIVENGOOD DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

Title

DMD

First Name

KYLE

Middle

ARTHUR

Last Name

LIVENGOOD

Business Name

KYLE ARTHUR LIVENGOOD DMD

Original Issue Date

03/27/2020

Effective Date

08/16/2024

Expiration Date

09/30/2027

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/16/2024