ALAN P CHEN DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001754

License Status

CANCELLED

Business

First Name

ALAN

Middle

Last Name

CHEN

Suffix

DMD

Business Name

ALAN P CHEN DMD

Original Issue Date

07/23/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

07/23/2009