CHAE HWAN NA DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001531

License Status

EXPIRED

Business

First Name

CHAE

Middle

HWAN

Last Name

Suffix

DDS

Business Name

CHAE HWAN NA DDS

Original Issue Date

11/19/2004

Effective Date

11/19/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

10/12/2005