KEVIN JOSEPH FAIST DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

Title

DMD

First Name

KEVIN

Middle

JOSEPH

Last Name

FAIST

Business Name

KEVIN JOSEPH FAIST DMD

Original Issue Date

07/10/2012

Effective Date

09/12/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60606

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022