MOHAMMED NKUTU-KIRUNDA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

Title

DDS

First Name

MOHAMMED

Last Name

NKUTU-KIRUNDA

Business Name

MOHAMMED NKUTU-KIRUNDA DDS

Original Issue Date

08/10/2011

Effective Date

06/23/2015

Expiration Date

09/30/2018

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018