TRAVIS KA KIMATHI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

Title

DDS

First Name

TRAVIS

Middle

Last Name

KIMATHI

Business Name

TRAVIS KA KIMATHI DDS

Original Issue Date

07/24/2006

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009