KYLE LENEVE LISENBY Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

CANCELLED

Business

First Name

KYLE

Middle

LENEVE

Last Name

LISENBY

Business Name

KYLE LENEVE LISENBY

Original Issue Date

07/20/2006

Effective Date

07/20/2006

Expiration Date

09/30/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2009