KRISTI NICOLE JOHNSON KENNEDY DDS - Dentist License in Illinois | # 018001934

KRISTI NICOLE JOHNSON KENNEDY DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001934

License Status

EXPIRED

Business

N

Title

DDS

First Name

KRISTI

Middle

NICOLE JOHNSON

Last Name

KENNEDY

Business Name

KRISTI NICOLE JOHNSON KENNEDY DDS

Original Issue Date

01/05/2015

Effective Date

01/31/2015

Expiration Date

06/30/2017

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

09/19/2017