SIRI CHANTHASALO DDS PC Professional Service Corporation License verification

Business Entity

ACTIVE

License Type

Professional Service Corporation

Description

REGISTERED PROFESSIONAL SERVICE CORPORATION

License Number

060012035

License Status

ACTIVE

Business

Business Name

SIRI CHANTHASALO DDS PC

BusinessDBA

PROVIDENCE FAMILY DENTAL

Original Issue Date

06/01/2017

Effective Date

10/01/2024

Expiration Date

01/01/2028

City

ELGIN

State

Zip

60124

County

KANE

Ever Disciplined

LastModifiedDate

01/02/2025