KELLI JEAN CHRISTENSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

JEAN

Last Name

CHRISTENSEN

Suffix

DDS

Business Name

KELLI JEAN CHRISTENSEN DDS

Original Issue Date

08/06/2003

Effective Date

09/27/2007

Expiration Date

09/30/2009

City

HOFFMAN ESTATES

State

Zip

60169

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009