PETER S LAM - Dentist License in Illinois | # 018000682

PETER S LAM

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000682

License Status

NOT RENEWED

Business

N

First Name

PETER

Middle

S

Last Name

LAM

Business Name

PETER S LAM

Original Issue Date

03/03/1993

Effective Date

03/03/1993

Expiration Date

06/30/1997

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/12/2005