RACHAELE KRISTINA CARVER Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001397

License Status

EXPIRED

Business

First Name

RACHAELE

Middle

KRISTINA

Last Name

CARVER

Business Name

RACHAELE KRISTINA CARVER

Original Issue Date

05/28/2003

Effective Date

05/28/2003

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005