KATHARINA ATMADJA BDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000193

License Status

ACTIVE

Business

Title

BDS

First Name

KATHARINA

Last Name

ATMADJA

Business Name

KATHARINA ATMADJA BDS

Original Issue Date

09/30/2013

Effective Date

08/14/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

08/14/2024