KRISTA M WEIMERSKIRCH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

Title

DMD

First Name

KRISTA

Middle

Last Name

WEIMERSKIRCH

Business Name

KRISTA M WEIMERSKIRCH DMD

Original Issue Date

11/28/2012

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

GALENA

State

Zip

61036

County

JO DAVIESS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025