KIRSTEN J GALAYDA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

First Name

KIRSTEN

Middle

Last Name

GALAYDA

Suffix

DDS

Business Name

KIRSTEN J GALAYDA DDS

Original Issue Date

08/27/2004

Effective Date

08/07/2012

Expiration Date

09/30/2015

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016