KIRSTEN TAYLOR FRAZIER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032006

License Status

NOT RENEWED

Business

Title

DMD

First Name

KIRSTEN

Middle

TAYLOR

Last Name

FRAZIER

Business Name

KIRSTEN TAYLOR FRAZIER DMD

Original Issue Date

03/08/2019

Effective Date

03/08/2019

Expiration Date

01/31/2022

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/09/2022