CORTINO SUKOTJO DDS - Dentist License in Illinois | # 136000137

CORTINO SUKOTJO DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000137

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

CORTINO

Last Name

SUKOTJO

Business Name

CORTINO SUKOTJO DDS

Original Issue Date

09/02/2008

Effective Date

08/15/2023

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

08/28/2025