CHAD K MOLEN DDS - Dentist License in Illinois | # 018000878

CHAD K MOLEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000878

License Status

NOT RENEWED

Business

N

First Name

CHAD K

Last Name

MOLEN

Suffix

DDS

Business Name

CHAD K MOLEN DDS

Original Issue Date

08/04/1995

Effective Date

08/04/1995

Expiration Date

05/21/1997

State

IL

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005