KIRK H CHRISTENSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001453

License Status

NOT RENEWED

Business

First Name

KIRK H

Last Name

CHRISTENSEN

Business Name

KIRK H CHRISTENSEN

Original Issue Date

10/24/1989

Effective Date

07/21/2015

Expiration Date

09/30/2018

City

FONTANA

State

Zip

53125

County

MCHENRY

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/31/2018