KIMBERLY D SHEPPARD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

SHEPPARD

Suffix

DDS

Business Name

KIMBERLY D SHEPPARD DDS

Original Issue Date

08/27/2004

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

HOFFMAN ESTATES

State

Zip

60169

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009