KRISTINE F FARRA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

Last Name

FARRA

Suffix

DDS

Business Name

KRISTINE F FARRA DDS

Original Issue Date

10/13/1993

Effective Date

10/13/1993

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005