COLLEEN KRISTOFOR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000777

License Status

NOT RENEWED

Business

First Name

COLLEEN

Last Name

KRISTOFOR

Suffix

DDS

Business Name

COLLEEN KRISTOFOR DDS

Original Issue Date

06/28/1994

Effective Date

06/28/1994

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005