CLEMENT T LO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

First Name

CLEMENT T

Last Name

Suffix

DDS

Business Name

CLEMENT T LO DDS

Original Issue Date

09/23/1993

Effective Date

09/23/1993

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005