KRISTI R DETWILER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026252

License Status

NOT RENEWED

Business

First Name

KRISTI

Middle

Last Name

DETWILER

Suffix

DDS

Business Name

KRISTI R DETWILER DDS

Original Issue Date

08/27/2003

Effective Date

08/27/2003

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005