DAVID RICHARD BISTERFELDT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028337

License Status

NOT RENEWED

Business

Title

DDS

First Name

DAVID

Middle

RICHARD

Last Name

BISTERFELDT

Business Name

DAVID RICHARD BISTERFELDT DDS

Original Issue Date

06/08/2010

Effective Date

09/17/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025