KRISTEN MARIE BEVERSDORF-SAFRANSKI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

MARIE

Last Name

BEVERSDORF-SAFRANSKI

Business Name

KRISTEN MARIE BEVERSDORF-SAFRANSKI

Original Issue Date

07/12/2013

Effective Date

05/16/2024

Expiration Date

09/30/2027

City

MENDOTA

State

Zip

61342

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2024