KRISTINE MARIE GOULET DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

MARIE

Last Name

GOULET

Suffix

DDS

Business Name

KRISTINE MARIE GOULET DDS

Original Issue Date

07/15/1999

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CARY

State

Zip

60013

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009