CHRISTINE ANNE NITZ Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001583

License Status

EXPIRED

Business

First Name

CHRISTINE

Middle

ANNE

Last Name

NITZ

Business Name

CHRISTINE ANNE NITZ

Original Issue Date

06/09/2006

Effective Date

06/09/2006

Expiration Date

06/29/2007

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

07/03/2007