KATRINE ANDREASEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

ACTIVE

Business

First Name

KATRINE

Last Name

ANDREASEN

Business Name

KATRINE ANDREASEN

Original Issue Date

06/12/2019

Effective Date

08/04/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/04/2024