CHRISTINE SHIAO-LOU CHANG DDS - Dentist License in Illinois | # 018001193

CHRISTINE SHIAO-LOU CHANG DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001193

License Status

NOT RENEWED

Business

N

First Name

CHRISTINE

Middle

SHIAO-LOU

Last Name

CHANG

Suffix

DDS

Business Name

CHRISTINE SHIAO-LOU CHANG DDS

Original Issue Date

08/18/1999

Effective Date

08/18/1999

Expiration Date

06/30/2002

State

IL

Specialty/Qualifier

Prosthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005