KEVIN LLOYD FATLAND DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

ACTIVE

Business

First Name

KEVIN

Middle

LLOYD

Last Name

FATLAND

Suffix

DMD

Business Name

KEVIN LLOYD FATLAND DMD

Original Issue Date

09/22/1999

Effective Date

07/25/2024

Expiration Date

09/30/2027

City

TINLEY PARK

State

Zip

60487

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2024