KRISTIN M ELLIOT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

ELLIOT

Business Name

KRISTIN M ELLIOT

Original Issue Date

08/05/2008

Effective Date

07/31/2012

Expiration Date

09/30/2015

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016