JOKO KUSNOTO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001141

License Status

NOT RENEWED

Business

First Name

JOKO

Last Name

KUSNOTO

Suffix

DDS

Business Name

JOKO KUSNOTO DDS

Original Issue Date

10/09/1998

Effective Date

10/09/1998

Expiration Date

05/31/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005