CHARLES H PAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

CHARLES H

Last Name

PAN

Business Name

CHARLES H PAN

Original Issue Date

09/21/1984

Effective Date

09/21/1984

Expiration Date

09/30/1998

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005