KIRSTIN SACCO RASMUSSEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001920

License Status

NOT RENEWED

Business

Title

DMD

First Name

KIRSTIN

Middle

SACCO

Last Name

RASMUSSEN

Business Name

KIRSTIN SACCO RASMUSSEN DMD

Original Issue Date

07/10/2014

Effective Date

07/10/2014

Expiration Date

06/30/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

01/07/2016