Andrew Adiputra

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****71

Status

Expired (Not Renewed)

First issued

August 15, 2019

Expired

September 30, 2024

License holder

Andrew Adiputra

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Specialty

Practitioner

Controlled substance schedules

II III IV V

Current term began

02/24/2022

Other Illinois licenses under this name

• IL
  Andrew Adiputra

  License 019032270

  Licensed Dentist (Dental)
  Active

  Woodridge, IL

  Expires Sep 30, 2027

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