PHUONG-THAO T CAI - Dentist License in Illinois | # 018000786

PHUONG-THAO T CAI

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000786

License Status

NOT RENEWED

Business

N

First Name

PHUONG-THAO

Middle

T

Last Name

CAI

Business Name

PHUONG-THAO T CAI

Original Issue Date

07/06/1994

Effective Date

07/06/1994

Expiration Date

06/30/1996

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005