PETER S LAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000682

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

LAM

Business Name

PETER S LAM

Original Issue Date

03/03/1993

Effective Date

03/03/1993

Expiration Date

06/30/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005