CARLA SUSANNE KRUPANSKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001879

License Status

NOT RENEWED

Business

First Name

CARLA SUSANNE

Last Name

KRUPANSKI

Business Name

CARLA SUSANNE KRUPANSKI

Original Issue Date

12/14/1972

Effective Date

12/14/1972

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005