GRZEGORZ KRUPA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

GRZEGORZ

Last Name

KRUPA

Prefix

Business Name

GRZEGORZ KRUPA

Original Issue Date

07/29/2015

Effective Date

08/18/2024

Expiration Date

09/30/2027

City

BURBANK

State

Zip

60459

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/18/2024