COLLEEN KRISTOFOR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

COLLEEN

Last Name

KRISTOFOR

Suffix

DDS

Business Name

COLLEEN KRISTOFOR DDS

Original Issue Date

10/17/2012

Effective Date

10/17/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016