BUDI KUSNOTO - Dentist License in Illinois | # 136000057

BUDI KUSNOTO

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000057

License Status

EXPIRED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

11/03/2006