COLLEEN KRISTOFOR DDS - Dentist License in Illinois | # 018000777

COLLEEN KRISTOFOR DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000777

License Status

NOT RENEWED

Business

N

First Name

COLLEEN

Last Name

KRISTOFOR

Suffix

DDS

Business Name

COLLEEN KRISTOFOR DDS

Original Issue Date

06/28/1994

Effective Date

06/28/1994

Expiration Date

06/30/1996

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005