CATHY L CHAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000031

License Status

NOT RENEWED

Business

First Name

CATHY

Middle

Last Name

CHAN

Business Name

CATHY L CHAN

Original Issue Date

06/20/1994

Effective Date

06/20/1994

Expiration Date

08/31/1995

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/13/2005