License Directory

Audrey Kyana La'cole Fields

Expired

Illinois license 31*****78

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
31*****78
Status
Expired (Not Renewed)
First issued
August 15, 2018
Expired
January 31, 2022
License holder
Audrey Kyana La'cole Fields
Entity type
Individual

Classifications

  • Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Specialty
Practitioner
Controlled substance schedules
II III IV V
Current term began
08/15/2018

Other Illinois licenses under this name

Contact

Carbondale, IL 62901
Jackson County