KIMBERLY ANN CALDWELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

CALDWELL

Business Name

KIMBERLY ANN CALDWELL

Original Issue Date

06/12/2001

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012