TINA TAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020060

License Status

NOT RENEWED

Business

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

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018