CHRISTINE C TAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000420

License Status

NOT RENEWED

Business

First Name

CHRISTINE C

Last Name

TAN

Suffix

DDS

Business Name

CHRISTINE C TAN DDS

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

06/30/1991

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005