THELMA SENG TAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

THELMA SENG

Last Name

TAN

Business Name

THELMA SENG TAN

Original Issue Date

06/26/1986

Effective Date

06/26/1986

Expiration Date

09/30/1986

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005