CONRAD CHOU DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

Title

DDS

First Name

CONRAD

Last Name

CHOU

Business Name

CONRAD CHOU DDS

Original Issue Date

09/30/2019

Effective Date

09/30/2019

Expiration Date

01/31/2022

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022