CHARLES C KALLSTROM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

CHARLES C

Last Name

KALLSTROM

Suffix

DDS

Business Name

CHARLES C KALLSTROM DDS

Original Issue Date

01/01/1998

Effective Date

08/13/2012

Expiration Date

09/30/2015

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016