ANASTASIA MARIE HAUPT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000959

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

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

05/09/2022