PENG-WEN CHEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000820

License Status

NOT RENEWED

Business

First Name

PENG-WEN

Last Name

CHEN

Business Name

PENG-WEN CHEN

Original Issue Date

10/07/1994

Effective Date

10/07/1994

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/12/2005