JOSHUA D KRISTIANSEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028472

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

Last Name

KRISTIANSEN DMD

Business Name

JOSHUA D KRISTIANSEN DMD

Original Issue Date

08/10/2010

Effective Date

08/10/2010

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60604

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012