CHRISTINE ANNE NITZ - Dentist License in Illinois | # 018001583

CHRISTINE ANNE NITZ

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001583

License Status

EXPIRED

Business

N

First Name

CHRISTINE

Middle

ANNE

Last Name

NITZ

Business Name

CHRISTINE ANNE NITZ

Original Issue Date

06/09/2006

Effective Date

06/09/2006

Expiration Date

06/29/2007

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

07/03/2007