TANATCHA KUKIRATIRAT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033307

License Status

ACTIVE

Business

First Name

TANATCHA

Last Name

KUKIRATIRAT

Business Name

TANATCHA KUKIRATIRAT

Original Issue Date

07/09/2021

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60614

Ever Disciplined

LastModifiedDate

10/16/2024

Case Number

2023005354

Action

Suspension

Discipline Start Date

08/21/2023

Discipline End Date

05/08/2024

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 05/09/2024.