CHIA CHEN CHI DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001353

License Status

EXPIRED

Business

First Name

CHIA CHEN

Last Name

CHI

Suffix

DMD

Business Name

CHIA CHEN CHI DMD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2003

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005