TINA TAN DMD - Dentist License in Illinois | # 019020060

TINA TAN DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020060

License Status

NOT RENEWED

Business

N

First Name

TINA

Last Name

TAN

Suffix

DMD

Business Name

TINA TAN DMD

Original Issue Date

06/05/1986

Effective Date

08/07/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018