THOMAS E KRUPA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

ACTIVE

Business

First Name

THOMAS

Middle

Last Name

KRUPA

Business Name

THOMAS E KRUPA

Original Issue Date

10/04/2002

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

WILLOW SPRINGS

State

Zip

60480

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2024