CHRISTOPHER L GREENWALDT DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

ACTIVE

Business

Title

DMD

First Name

CHRISTOPHER

Middle

Last Name

GREENWALDT

Business Name

CHRISTOPHER L GREENWALDT DMD

Original Issue Date

07/06/2023

Effective Date

08/24/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/24/2024