BUDI KUSNOTO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002161

License Status

ACTIVE

Business

First Name

BUDI

Last Name

KUSNOTO

Business Name

BUDI KUSNOTO

Original Issue Date

09/21/2005

Effective Date

05/15/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

05/15/2024