ERIN K TEAGUE DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001460

License Status

EXPIRED

Business

First Name

ERIN

Middle

Last Name

TEAGUE

Suffix

DDS

Business Name

ERIN K TEAGUE DDS

Original Issue Date

06/17/2004

Effective Date

06/17/2004

Expiration Date

06/30/2005

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005