KRISTIN NICOLE KLUTCHARCH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

ACTIVE

Business

Title

DMD

First Name

KRISTIN

Middle

NICOLE

Last Name

KLUTCHARCH

Business Name

KRISTIN NICOLE KLUTCHARCH DMD

Original Issue Date

06/14/2022

Effective Date

09/20/2024

Expiration Date

09/30/2027

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/20/2024