KRISTIN M LENZ GALBREATH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

Title

DMD

First Name

KRISTIN

Middle

Last Name

LENZ GALBREATH

Business Name

KRISTIN M LENZ GALBREATH DMD

Original Issue Date

02/03/2014

Effective Date

08/14/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018