ELLEN HUANG DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

Title

DMD

First Name

ELLEN

Last Name

HUANG

Business Name

ELLEN HUANG DMD

Original Issue Date

11/25/2013

Effective Date

11/25/2013

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016