ANASTASIA MARIE HAUPT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002765

License Status

NOT RENEWED

Business

Title

DDS

First Name

ANASTASIA

Middle

MARIE

Last Name

HAUPT

Business Name

ANASTASIA MARIE HAUPT DDS

Original Issue Date

07/28/2016

Effective Date

06/19/2018

Expiration Date

01/31/2022

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

ORAL AND MAXILLOFACIAL SURGERY

Ever Disciplined

LastModifiedDate

05/09/2022