RICHARD TODD CRIST DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035471

License Status

ACTIVE

Business

Title

DMD

First Name

RICHARD

Middle

TODD

Last Name

CRIST

Business Name

RICHARD TODD CRIST DMD

Original Issue Date

08/19/2024

Effective Date

08/19/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

06/10/2024