CATHY L CHAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000634

License Status

NOT RENEWED

Business

First Name

CATHY

Middle

Last Name

CHAN

Business Name

CATHY L CHAN

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018