ANDREW BAN GUAN TAY Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001092

License Status

EXPIRED

Business

First Name

ANDREW BAN GUAN

Last Name

TAY

Business Name

ANDREW BAN GUAN TAY

Original Issue Date

05/29/1998

Effective Date

05/29/1998

Expiration Date

06/30/1999

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005