CATHY L CHAN - Dentist License in Illinois | # 018000634

CATHY L CHAN

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000634

License Status

NOT RENEWED

Business

N

First Name

CATHY

Middle

L

Last Name

CHAN

Business Name

CATHY L CHAN

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

06/30/1996

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018