ROSEMARIE CHIONG TAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027010

License Status

NOT RENEWED

Business

First Name

ROSEMARIE

Middle

CHIONG

Last Name

TAN

Business Name

ROSEMARIE CHIONG TAN

Original Issue Date

05/30/2006

Effective Date

08/10/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012