KRISTEN DENT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146168

License Status

NOT RENEWED

Business

Title

First Name

KRISTEN

Last Name

DENT

Business Name

KRISTEN DENT MD

Original Issue Date

05/15/2018

Effective Date

05/15/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021