JOSHUA D KRISTIANSEN DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001753

License Status

EXPIRED

Business

First Name

JOSHUA

Middle

Last Name

KRISTIANSEN DMD

Business Name

JOSHUA D KRISTIANSEN DMD

Original Issue Date

07/20/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

08/29/2012