DUSTIN BRYANT HAUPT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

Title

DDS

First Name

DUSTIN

Middle

BRYANT

Last Name

HAUPT

Business Name

DUSTIN BRYANT HAUPT DDS

Original Issue Date

07/12/2012

Effective Date

09/20/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60661

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022