KEVIN D AN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

KEVIN

Middle

Last Name

Suffix

DMD

Business Name

KEVIN D AN DMD

Original Issue Date

01/24/2001

Effective Date

05/15/2024

Expiration Date

09/30/2027

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2024