DONALD JOSEPH DECHRISTOPHER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

DONALD JOSEPH

Last Name

DECHRISTOPHER

Business Name

DONALD JOSEPH DECHRISTOPHER

Original Issue Date

10/22/2012

Effective Date

10/22/2012

Expiration Date

09/30/2015

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

02/08/2016