KATELYN MARIE WHITE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

First Name

KATELYN

Middle

MARIE

Last Name

WHITE

Business Name

KATELYN MARIE WHITE

Original Issue Date

07/23/2019

Effective Date

07/23/2019

Expiration Date

01/31/2022

City

BOWLING GREEN

State

Zip

42101

County

KENTUCKY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022