CHRISTA LOUISE FAVOT DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001647

License Status

EXPIRED

Business

First Name

CHRISTA

Middle

LOUISE

Last Name

FAVOT

Suffix

DDS

Business Name

CHRISTA LOUISE FAVOT DDS

Original Issue Date

08/01/2007

Effective Date

08/01/2007

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

07/31/2008