KELVIN CHOU 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

KELVIN

Last Name

CHOU

Business Name

KELVIN CHOU

Original Issue Date

09/27/2010

Effective Date

09/27/2010

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/14/2012