DUYEN AI TRAN

Business Entity
ACTIVE

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****04

ACTIVE

N

DUYEN

AI

TRAN

MR

DUYEN AI TRAN

10/15/2018

08/27/2024

09/30/2027

CHICAGO

IL

60632

COOK

PRACTITIONER

II III IV V

N

08/27/2024