BENJ CHUNPRAPAPH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

ACTIVE

Business

First Name

BENJ

Last Name

CHUNPRAPAPH

Business Name

BENJ CHUNPRAPAPH

Original Issue Date

06/24/2010

Effective Date

09/20/2024

Expiration Date

09/30/2027

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/20/2024