CHAE HWAN NA DDS - Dentist License in Illinois | # 018001531

CHAE HWAN NA DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001531

License Status

EXPIRED

Business

N

First Name

CHAE

Middle

HWAN

Last Name

NA

Suffix

DDS

Business Name

CHAE HWAN NA DDS

Original Issue Date

11/19/2004

Effective Date

11/19/2004

Expiration Date

07/31/2005

State

IL

Specialty/Qualifier

Prosthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005