KRISTINE ELIZABETH VAN DEURSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010739

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

ELIZABETH

Last Name

VAN DEURSEN

Business Name

KRISTINE ELIZABETH VAN DEURSEN

Original Issue Date

07/30/2003

Effective Date

10/01/2012

Expiration Date

09/30/2015

City

SILT

State

Zip

81652

County

COLORADO

Ever Disciplined

LastModifiedDate

04/25/2016