KRISTIE LYNN MUELLER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

KRISTIE

Middle

LYNN

Last Name

MUELLER

Suffix

DMD

Business Name

KRISTIE LYNN MUELLER DMD

Original Issue Date

07/12/2000

Effective Date

09/27/2021

Expiration Date

09/30/2024

City

DUNLAP

State

Zip

61525

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025