SIRI CHANTHASALO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025831

License Status

ACTIVE

Business

First Name

SIRI

Last Name

CHANTHASALO

Suffix

DDS

Business Name

SIRI CHANTHASALO DDS

Original Issue Date

06/04/2002

Effective Date

07/30/2024

Expiration Date

09/30/2027

City

ELGIN

State

Zip

60124

County

KANE

Ever Disciplined

LastModifiedDate

07/30/2024