KRISTA LYNN BERRYHILL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

KRISTA

Middle

LYNN

Last Name

BERRYHILL

Business Name

KRISTA LYNN BERRYHILL

Original Issue Date

10/20/2018

Effective Date

10/20/2018

Expiration Date

01/31/2022

City

GALENA

State

Zip

61036

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022