CHRISTOPHER L GREENWALDT DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

Title

DMD

First Name

CHRISTOPHER

Middle

Last Name

GREENWALDT

Business Name

CHRISTOPHER L GREENWALDT DMD

Original Issue Date

06/24/2015

Effective Date

09/16/2019

Expiration Date

01/31/2022

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022