PETER M CHA DDS 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

PETER M

Last Name

CHA

Suffix

DDS

Business Name

PETER M CHA DDS

Original Issue Date

02/24/1992

Effective Date

02/24/1992

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005