CHRISTIE MARIE SAMRAI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

Title

DMD

First Name

CHRISTIE

Middle

MARIE

Last Name

SAMRAI

Business Name

CHRISTIE MARIE SAMRAI DMD

Original Issue Date

08/31/2015

Effective Date

08/31/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018