KRISTI R DETWILER DDS - Dentist License in Illinois | # 019026252

KRISTI R DETWILER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026252

License Status

NOT RENEWED

Business

N

First Name

KRISTI

Middle

R

Last Name

DETWILER

Suffix

DDS

Business Name

KRISTI R DETWILER DDS

Original Issue Date

08/27/2003

Effective Date

08/27/2003

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005