KATHARINA ATMADJA BDS - Dentist License in Illinois | # 136000193

KATHARINA ATMADJA BDS

Business Entity

ACTIVE

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000193

License Status

ACTIVE

Business

N

Title

BDS

First Name

KATHARINA

Last Name

ATMADJA

Business Name

KATHARINA ATMADJA BDS

Original Issue Date

09/30/2013

Effective Date

08/14/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

08/14/2024