CHRIS K BURSETH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

ACTIVE

Business

First Name

CHRIS K

Last Name

BURSETH

Business Name

CHRIS K BURSETH

Original Issue Date

01/26/1987

Effective Date

08/09/2024

Expiration Date

09/30/2027

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/09/2024