IRENE TAN MORIMOTO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

IRENE TAN

Last Name

MORIMOTO

Suffix

DDS

Business Name

IRENE TAN MORIMOTO DDS

Original Issue Date

07/08/1981

Effective Date

09/13/2012

Expiration Date

09/30/2015

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016