KIRK H CHRISTENSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

KIRK H

Last Name

CHRISTENSEN

Business Name

KIRK H CHRISTENSEN

Original Issue Date

10/03/1986

Effective Date

07/21/2015

Expiration Date

09/30/2018

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018