KAM CHAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000677

License Status

NOT RENEWED

Business

First Name

KAM

Last Name

CHAN

Business Name

KAM CHAN

Original Issue Date

12/23/1992

Effective Date

12/23/1992

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/12/2005