KEVIN W WHITE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

ACTIVE

Business

First Name

KEVIN

Middle

Last Name

WHITE

Suffix

DMD

Business Name

KEVIN W WHITE DMD

Original Issue Date

07/22/2015

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/25/2024