KRISTOFER R CEREDON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013656

License Status

NOT RENEWED

Business

Title

DDS

First Name

KRISTOFER

Middle

Last Name

CEREDON

Business Name

KRISTOFER R CEREDON DDS

Original Issue Date

07/12/2011

Effective Date

07/12/2011

Expiration Date

09/30/2012

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012