NORBERT RALPH SKUPIEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008855

License Status

NOT RENEWED

Business

First Name

NORBERT RALPH

Last Name

SKUPIEN

Business Name

NORBERT RALPH SKUPIEN

Original Issue Date

09/10/1945

Effective Date

09/10/1945

Expiration Date

09/30/1988

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005