CHRISTINE ANNE NITZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

ANNE

Last Name

NITZ

Business Name

CHRISTINE ANNE NITZ

Original Issue Date

04/16/2007

Effective Date

04/16/2007

Expiration Date

09/30/2009

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009