KRISTINA GRACE DRAGSTREM DDS - Dentist License in Illinois | # 018001820

KRISTINA GRACE DRAGSTREM DDS

Business Entity

INACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001820

License Status

INACTIVE

Business

N

First Name

KRISTINA

Middle

GRACE

Last Name

DRAGSTREM

Suffix

DDS

Business Name

KRISTINA GRACE DRAGSTREM DDS

Original Issue Date

07/21/2011

Effective Date

08/15/2011

Expiration Date

08/14/2014

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

07/21/2011