KATHRYN BULLWINKEL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

Title

DMD

First Name

KATHRYN

Last Name

BULLWINKEL

Business Name

KATHRYN BULLWINKEL DMD

Original Issue Date

07/14/2011

Effective Date

08/27/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016