KIMBERLY M KAZUMURA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

KAZUMURA

Suffix

DDS

Business Name

KIMBERLY M KAZUMURA DDS

Original Issue Date

09/19/2002

Effective Date

09/19/2002

Expiration Date

09/30/2006

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006