EVERT C TAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028856

License Status

NOT RENEWED

Business

First Name

EVERT

Middle

Last Name

TAN

Business Name

EVERT C TAN

Original Issue Date

09/12/2011

Effective Date

09/12/2011

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012