KRISTA JUDITH STEPHENS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013092

License Status

NOT RENEWED

Business

First Name

KRISTA

Middle

JUDITH

Last Name

STEPHENS

Business Name

KRISTA JUDITH STEPHENS

Original Issue Date

12/21/2009

Effective Date

12/21/2009

Expiration Date

09/30/2012

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/14/2012