KRISTIN LEE NEWSOM DDS - Dentist License in Illinois | # 019026907

KRISTIN LEE NEWSOM DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026907

License Status

NOT RENEWED

Business

N

First Name

KRISTIN

Middle

LEE

Last Name

NEWSOM

Suffix

DDS

Business Name

KRISTIN LEE NEWSOM DDS

Original Issue Date

06/27/2005

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2010