CHAD K MOLEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000878

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/12/2005