ANDREW BAN GUAN TAY - Dentist License in Illinois | # 018001092

ANDREW BAN GUAN TAY

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001092

License Status

EXPIRED

Business

N

First Name

ANDREW BAN GUAN

Last Name

TAY

Business Name

ANDREW BAN GUAN TAY

Original Issue Date

05/29/1998

Effective Date

05/29/1998

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/12/2005