JENNIFER S CHA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000542

License Status

NOT RENEWED

Business

First Name

JENNIFER S

Last Name

CHA

Suffix

DMD

Business Name

JENNIFER S CHA DMD

Original Issue Date

06/13/1991

Effective Date

06/13/1991

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/12/2005