Kjersten Ann Otterholt

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****14

Status

Expired (Not Renewed)

First issued

July 3, 2013

Expired

September 30, 2015

License holder

Kjersten Ann Otterholt

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Specialty

Practitioner

Controlled substance schedules

II III IV V

Current term began

07/03/2013

Other Illinois licenses under this name

• IL
  Kjersten Ann Otterholt

  License 019029500

  Licensed Dentist (Dental)
  Expired

  Mount Vernon, WA

  Expired Sep 30, 2015

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