HIRUT MANMEKTOT DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

ACTIVE

Business

Title

DDS

First Name

HIRUT

Last Name

MANMEKTOT

Business Name

HIRUT MANMEKTOT DDS

Original Issue Date

12/16/2022

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024