WALTER V STUPNITSKY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

First Name

WALTER V

Last Name

STUPNITSKY

Business Name

WALTER V STUPNITSKY

Original Issue Date

08/12/1987

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/07/2024