KEVIN WALTER KING Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

KEVIN WALTER

Last Name

KING

Business Name

KEVIN WALTER KING

Original Issue Date

01/23/1984

Effective Date

01/23/1984

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005