SIV EANG CHUNG CHHAY - Dentist License in Illinois | # 136000240

SIV EANG CHUNG CHHAY

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000240

License Status

EXPIRED

Business

N

First Name

SIV EANG

Middle

CHUNG

Last Name

CHHAY

Business Name

SIV EANG CHUNG CHHAY

Original Issue Date

01/23/2019

Effective Date

01/23/2019

Expiration Date

01/23/2022

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022