KRISTIN M ELLIOT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

Last Name

ELLIOT

Business Name

KRISTIN M ELLIOT

Original Issue Date

08/05/2008

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024