CHRISTA Y SPATES DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

ACTIVE

Business

First Name

CHRISTA Y

Last Name

SPATES

Suffix

DDS

Business Name

CHRISTA Y SPATES DDS

Original Issue Date

10/26/1994

Effective Date

07/13/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2024