DUSTIN BRYANT HAUPT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

Title

DDS

First Name

DUSTIN

Middle

BRYANT

Last Name

HAUPT

Business Name

DUSTIN BRYANT HAUPT DDS

Original Issue Date

01/03/2017

Effective Date

01/03/2017

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018