CATHERINE HA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

ACTIVE

Business

First Name

CATHERINE

Last Name

Business Name

CATHERINE HA

Original Issue Date

08/29/2018

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024