CHRISTINE SHIAO-LOU CHANG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001193

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

SHIAO-LOU

Last Name

CHANG

Suffix

DDS

Business Name

CHRISTINE SHIAO-LOU CHANG DDS

Original Issue Date

08/18/1999

Effective Date

08/18/1999

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

10/12/2005