KRISTINE F FARRA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023366

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

Last Name

FARRA

Suffix

DDS

Business Name

KRISTINE F FARRA DDS

Original Issue Date

09/13/1993

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2010