FRANSISKUS ANDRIANTO TJIPTOWIDJOJO DDS - Dentist License in Illinois | # 021003044

FRANSISKUS ANDRIANTO TJIPTOWIDJOJO DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003044

License Status

ACTIVE

Business

N

Title

DDS

First Name

FRANSISKUS ANDRIANTO

Last Name

TJIPTOWIDJOJO

Business Name

FRANSISKUS ANDRIANTO TJIPTOWIDJOJO DDS

Original Issue Date

07/06/2020

Effective Date

10/01/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

PROSTHODONTICS

Ever Disciplined

N

LastModifiedDate

10/16/2024