HENRY CRAIG SCHUPPERT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

ACTIVE

Business

First Name

HENRY

Middle

CRAIG

Last Name

SCHUPPERT

Business Name

HENRY CRAIG SCHUPPERT

Original Issue Date

01/30/2012

Effective Date

08/12/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

08/12/2024