DAVID MARK CHRISTENSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

DAVID MARK

Last Name

CHRISTENSON

Suffix

DDS

Business Name

DAVID MARK CHRISTENSON DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

GREAT LAKES

State

Zip

60088

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005