GLORIA CHEN FANG CHAO DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029624

License Status

INACTIVE

Business

Title

DMD

First Name

GLORIA

Middle

CHEN FANG

Last Name

CHAO

Business Name

GLORIA CHEN FANG CHAO DMD

Original Issue Date

08/22/2013

Effective Date

07/13/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

06/07/2018