KRISTEN ASHLEY VLAGOS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

ASHLEY

Last Name

VLAGOS

Business Name

KRISTEN ASHLEY VLAGOS

Original Issue Date

07/05/2011

Effective Date

06/26/2024

Expiration Date

09/30/2027

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2024