DONALD JOSEPH DECHRISTOPHER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

DONALD JOSEPH

Last Name

DECHRISTOPHER

Business Name

DONALD JOSEPH DECHRISTOPHER

Original Issue Date

01/01/1998

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

11/14/2012