BUDI KUSNOTO Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000057

License Status

EXPIRED

Business

First Name

BUDI

Last Name

KUSNOTO

Business Name

BUDI KUSNOTO

Original Issue Date

06/25/1999

Effective Date

06/25/1999

Expiration Date

08/31/2006

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2006