KRISTEN ANN STUPAK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011677

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

ANN

Last Name

STUPAK

Business Name

KRISTEN ANN STUPAK

Original Issue Date

06/22/2006

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

CHANNAHON

State

Zip

60410

County

WILL

Ever Disciplined

LastModifiedDate

09/15/2024