MARDI A TINGZON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000438

License Status

NOT RENEWED

Business

First Name

MARDI A

Last Name

TINGZON

Suffix

DDS

Business Name

MARDI A TINGZON DDS

Original Issue Date

06/12/1990

Effective Date

06/12/1990

Expiration Date

06/30/1991

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005