ANDREW B KASSARABA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

ACTIVE

Business

First Name

ANDREW B

Last Name

KASSARABA

Business Name

ANDREW B KASSARABA

Original Issue Date

09/12/1994

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024