BEN W KAO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000515

License Status

NOT RENEWED

Business

First Name

BEN

Middle

Last Name

KAO

Business Name

BEN W KAO

Original Issue Date

01/30/1991

Effective Date

01/30/1991

Expiration Date

02/27/1992

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005