RALPH DAVID CHRISTENSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

RALPH DAVID

Last Name

CHRISTENSEN

Suffix

DDS

Business Name

RALPH DAVID CHRISTENSEN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005