KEVIN WALTER KING Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

KEVIN WALTER

Last Name

KING

Business Name

KEVIN WALTER KING

Original Issue Date

09/18/1986

Effective Date

08/20/2018

Expiration Date

01/31/2022

City

BOLINGBROOK

State

Zip

60440

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022