BETH ANN CHALUPA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012681

License Status

INACTIVE

Business

First Name

BETH

Middle

ANN

Last Name

CHALUPA

Business Name

BETH ANN CHALUPA

Original Issue Date

09/16/2008

Effective Date

09/16/2008

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

06/04/2009