KRISTEN A MANNIA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013724

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

MANNIA

Business Name

KRISTEN A MANNIA

Original Issue Date

07/22/2011

Effective Date

07/16/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016