HEATHER L KITCHENS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

ACTIVE

Business

First Name

HEATHER

Middle

Last Name

KITCHENS

Suffix

DMD

Business Name

HEATHER L KITCHENS DMD

Original Issue Date

03/03/2004

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024