EDWIN T H TAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000651

License Status

NOT RENEWED

Business

First Name

EDWIN T

Middle

Last Name

TAN

Business Name

EDWIN T H TAN

Original Issue Date

07/29/1992

Effective Date

07/29/1992

Expiration Date

12/31/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/12/2005