ALEXANDRA KRISTEN SALES DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

Title

DMD

First Name

ALEXANDRA

Middle

KRISTEN

Last Name

SALES

Business Name

ALEXANDRA KRISTEN SALES DMD

Original Issue Date

06/27/2017

Effective Date

09/30/2021

Expiration Date

09/30/2024

City

GLENDALE

State

Zip

85308

County

ARIZONA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

02/04/2025