KRISTINA GRACE DRAGSTREM DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001820

License Status

INACTIVE

Business

First Name

KRISTINA

Middle

GRACE

Last Name

DRAGSTREM

Suffix

DDS

Business Name

KRISTINA GRACE DRAGSTREM DDS

Original Issue Date

07/21/2011

Effective Date

08/15/2011

Expiration Date

08/14/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

07/21/2011