DUSTIN BRYANT HAUPT DDS - Dentist License in Illinois | # 019029126

DUSTIN BRYANT HAUPT DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029126

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

DUSTIN

Middle

BRYANT

Last Name

HAUPT

Business Name

DUSTIN BRYANT HAUPT DDS

Original Issue Date

07/12/2012

Effective Date

09/20/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022