CHRISTOPHER H COSTIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011689

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER H

Last Name

COSTIS

Suffix

DDS

Business Name

CHRISTOPHER H COSTIS DDS

Original Issue Date

08/01/1960

Effective Date

08/01/1960

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005