KATHARINA ATMADJA BDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001437

License Status

EXPIRED

Business

Title

BDS

First Name

KATHARINA

Last Name

ATMADJA

Business Name

KATHARINA ATMADJA BDS

Original Issue Date

10/07/2003

Effective Date

08/21/2007

Expiration Date

12/31/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

01/03/2008