BUDI KUSNOTO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026824

License Status

ACTIVE

Business

First Name

BUDI

Last Name

KUSNOTO

Business Name

BUDI KUSNOTO

Original Issue Date

07/15/2005

Effective Date

05/15/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

05/15/2024