KAITLIN MARIE CARLSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

ACTIVE

Business

Title

DMD

First Name

KAITLIN

Middle

MARIE

Last Name

CARLSON

Business Name

KAITLIN MARIE CARLSON DMD

Original Issue Date

04/29/2025

Effective Date

04/29/2025

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2025