KEVIN M CHRIST Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000951

License Status

NOT RENEWED

Business

First Name

KEVIN M

Last Name

CHRIST

Business Name

KEVIN M CHRIST

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

06/30/1997

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005