FRANSISKUS ANDRIANTO TJIPTOWIDJOJO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

Title

DDS

First Name

FRANSISKUS ANDRIANTO

Last Name

TJIPTOWIDJOJO

Business Name

FRANSISKUS ANDRIANTO TJIPTOWIDJOJO DDS

Original Issue Date

07/02/2020

Effective Date

01/01/2022

Expiration Date

09/30/2024

City

SCHAUMBURG

State

Zip

60195

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025