JESSICA L TAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000723

License Status

NOT RENEWED

Business

First Name

JESSICA L

Last Name

TAN

Business Name

JESSICA L TAN

Original Issue Date

07/27/1993

Effective Date

07/27/1993

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005