CRISTINA CO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

CRISTINA

Last Name

Business Name

CRISTINA CO

Original Issue Date

08/23/1991

Effective Date

06/19/2018

Expiration Date

01/31/2022

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/09/2022